Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.13 / $15.85	Professional		$8.91	$14.13	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $25.12	Professional		$19.95	$19.95	$25.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.99 / $85.11	Professional		$17.38	$23.99	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $158.49	Facility		$14.79	$21.88	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $19.05 / $30.20	Professional		$8.71	$19.05	$30.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $23.44	Professional		$19.05	$22.39	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.45 / $30.20	Professional		$8.71	$14.45	$30.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38