Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $52.73 / $73.75	Facility		$27.11	$52.73	$73.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $20.87 / $20.87	Professional		$17.89	$20.87	$20.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $49.61 / $62.02	Professional		$31.39	$49.61	$62.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $40.67 / $156.61	Professional		$29.82	$40.67	$156.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $34.97 / $101.85	Facility		$27.11	$34.97	$101.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $68.56	Professional		$16.27	$16.27	$68.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $49.57 / $101.85	Facility		$32.56	$49.57	$101.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $49.57 / $70.76	Professional		$32.53	$49.57	$70.76
United Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $62.35	Facility		$27.11	$27.11	$62.35
United Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $55.51	Professional		$16.27	$16.27	$55.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $27.11 / $27.11	Professional		$21.42	$27.11	$27.11