Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $38.61 / $69.45	Facility		$17.61	$38.61	$69.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $12.58 / $44.16	Professional		$10.78	$12.58	$44.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $28.60 / $101.15	Professional		$16.34	$28.60	$101.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $27.40 / $77.84	Facility		$16.34	$27.40	$77.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $16.82 / $45.10	Professional		$9.80	$16.82	$45.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $33.28 / $51.23	Facility		$20.02	$33.28	$51.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $33.28 / $45.45	Professional		$19.63	$33.28	$45.45
United Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $24.51 / $24.51	Facility		$24.51	$24.51	$24.51
United Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $13.70 / $45.66	Professional		$9.80	$13.70	$45.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $16.34 / $16.34	Professional		$12.91	$16.34	$16.34