Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $31.62 / $47.86	Facility		$12.02	$31.62	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $26.30	Professional		$10.00	$14.13	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $39.81	Professional		$20.42	$31.62	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $104.71	Professional		$18.20	$30.20	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.38 / $52.48	Facility		$16.60	$21.38	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $43.65	Professional		$10.00	$19.95	$43.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $21.38	Professional		$19.95	$20.42	$21.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $36.31	Facility		$16.60	$16.60	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $39.81	Professional		$10.00	$13.80	$39.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $16.60	Professional		$13.18	$16.60	$16.60