Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $50.12 / $50.12	Facility		$12.02	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $50.12	Professional		$12.02	$12.02	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $15.85	Professional		$12.59	$15.85	$15.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $181.97 / $199.53	Professional		$16.22	$181.97	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $54.95 / $141.25	Facility		$14.45	$54.95	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $14.45 / $81.28	Professional		$5.75	$14.45	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $34.67	Professional		$17.78	$20.89	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $5.89 / $14.79	Facility		$0.15	$5.89	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $20.42	Professional		$5.01	$12.59	$20.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $17.78	Professional		$14.13	$16.22	$17.78