Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $34.67 / $51.29	Facility		$14.13	$34.67	$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 $26.30 / $35.48 / $43.65	Professional		$26.30	$35.48	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.99 / $33.11	Professional		$15.49	$23.99	$33.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $48.98	Facility		$18.20	$21.88	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $42.66	Professional		$10.96	$10.96	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $72.44	Professional		$21.88	$23.99	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $40.74	Facility		$18.20	$18.20	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $39.81	Professional		$10.96	$10.96	$39.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $18.20	Professional		$14.45	$18.20	$18.20