Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $37.15	Facility		$14.13	$15.49	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.84 / $54.95	Professional		$14.13	$28.84	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.18 / $15.85	Professional		$12.88	$13.18	$15.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $64.57	Professional		$14.45	$23.99	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $39.81 / $52.48	Facility		$15.49	$39.81	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $46.77	Professional		$13.18	$15.85	$46.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $53.70 / $53.70	Professional		$14.79	$53.70	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $16.60	Professional		$13.49	$15.85	$16.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18