Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $29.39 / $30.27	Facility		$17.19	$29.39	$30.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $19.11 / $40.92	Professional		$13.06	$19.11	$40.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $14.33 / $15.23	Professional		$12.19	$14.33	$15.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $17.85 / $91.04	Professional		$13.06	$17.85	$91.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $18.62 / $29.39	Facility		$13.67	$18.62	$29.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $28.00	Professional		$11.39	$11.39	$28.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $14.59 / $21.53	Facility		$13.67	$14.59	$21.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $16.07 / $30.20	Professional		$13.67	$16.07	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $19.70 / $19.70	Facility		$19.70	$19.70	$19.70
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.45	Professional		$13.06	$13.06	$13.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $11.39	Facility		$11.39	$11.39	$11.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $11.39	Professional		$11.39	$11.39	$11.39