Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $29.96 / $79.28	Facility		$16.29	$29.96	$79.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $13.39 / $29.96	Professional		$12.06	$13.39	$29.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $10.01 / $12.52	Professional		$10.01	$10.01	$12.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $19.82 / $26.54	Professional		$12.06	$19.82	$26.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $16.36 / $38.45	Facility		$10.93	$16.36	$38.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $17.32	Professional		$10.79	$10.79	$17.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $12.95 / $16.36	Facility		$10.93	$12.95	$16.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $13.17 / $30.04	Professional		$9.11	$13.17	$30.04
United Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Facility		$16.20	$16.20	$16.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $12.30	Professional		$12.06	$12.06	$12.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Facility		$10.79	$10.79	$10.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79