Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $31.62 / $104.71	Facility		$12.02	$31.62	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $17.38 / $50.12	Professional		$8.91	$17.38	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $28.18	Professional		$16.98	$22.91	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $60.26	Professional		$13.18	$21.88	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.85 / $43.65	Facility		$12.02	$15.85	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $31.62	Professional		$7.24	$14.45	$31.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.79	Professional		$14.45	$14.45	$14.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $26.92	Facility		$12.02	$12.02	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.77 / $29.51	Professional		$7.24	$9.77	$29.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $12.02	Professional		$9.55	$12.02	$12.02