Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $38.90 / $58.88	Facility		$15.14	$38.90	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $32.36	Professional		$12.88	$16.98	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $48.98	Professional		$25.12	$38.90	$48.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $50.12 / $128.82	Professional		$20.42	$50.12	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $26.92 / $64.57	Facility		$20.42	$26.92	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $24.55 / $53.70	Professional		$12.30	$24.55	$53.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $26.30	Professional		$24.55	$25.12	$26.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $45.71	Facility		$20.42	$20.42	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $50.12	Professional		$12.30	$16.98	$50.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $20.42	Professional		$16.22	$20.42	$20.42