Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $54.95 / $83.18	Facility		$21.88	$54.95	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $45.71	Professional		$19.05	$25.12	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $69.18	Professional		$35.48	$54.95	$69.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.48 / $208.93	Professional		$28.84	$52.48	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $37.15 / $83.18	Facility		$28.84	$37.15	$83.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $34.67 / $72.44	Professional		$17.38	$34.67	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $35.48 / $37.15	Professional		$34.67	$35.48	$37.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $63.10	Facility		$28.84	$28.84	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.05 / $66.07	Professional		$17.38	$19.05	$66.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $28.84	Professional		$22.91	$28.84	$28.84