Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $43.65 / $125.89	Facility		$18.62	$43.65	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $120.23	Professional		$12.88	$16.98	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $44.67	Professional		$22.39	$35.48	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $128.82	Professional		$23.44	$33.11	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.44 / $50.12	Facility		$18.62	$23.44	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.62 / $40.74	Professional		$11.22	$18.62	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.99 / $158.49	Professional		$16.60	$23.99	$158.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
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