Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $24.55	Facility		$12.02	$14.45	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $20.42	Professional		$12.02	$12.02	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $15.49	Professional		$12.30	$12.30	$15.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $151.36	Professional		$9.77	$12.02	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.49 / $18.62	Facility		$12.02	$13.49	$18.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $18.20	Professional		$12.02	$12.02	$18.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $15.85	Professional		$13.49	$15.85	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.59	Professional		$12.02	$12.02	$12.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02