Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $41.69 / $173.78	Facility		$9.12	$41.69	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.13 / $120.23	Professional		$8.91	$14.13	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $11.75	Professional		$9.33	$10.96	$11.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $38.90 / $134.90	Professional		$9.77	$38.90	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $18.62 / $58.88	Facility		$10.72	$18.62	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $48.98	Professional		$9.12	$9.12	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $18.62	Professional		$14.45	$14.45	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.77	Professional		$9.12	$9.12	$9.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77