Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $32.57 / $98.70	Facility		$12.99	$32.57	$98.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $16.02 / $77.48	Professional		$9.27	$16.02	$77.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.54 / $26.93	Professional		$13.63	$21.54	$26.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $21.09 / $51.80	Professional		$12.05	$21.09	$51.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $18.53 / $63.81	Facility		$12.05	$18.53	$63.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $12.41 / $33.26	Professional		$7.23	$12.41	$33.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $24.55 / $37.78	Facility		$14.76	$24.55	$37.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $24.55 / $34.52	Professional		$14.48	$24.55	$34.52
United Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.05 / $27.72	Facility		$12.05	$12.05	$27.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $9.84 / $29.19	Professional		$7.23	$9.84	$29.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.05 / $12.05	Professional		$9.52	$12.05	$12.05