Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $35.48 / $51.29	Facility		$14.13	$35.48	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $21.88	Professional		$12.02	$14.13	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $44.67	Professional		$26.92	$35.48	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $33.88	Professional		$15.85	$23.99	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.39 / $50.12	Facility		$18.62	$22.39	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $42.66	Professional		$11.22	$11.22	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $40.74	Facility		$18.62	$18.62	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $40.74	Professional		$11.22	$11.22	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $18.62	Professional		$14.79	$18.62	$18.62