Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $39.95 / $83.20	Facility		$27.75	$39.95	$83.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $14.61 / $103.50	Professional		$12.52	$14.61	$103.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $34.60 / $43.25	Professional		$21.89	$34.60	$43.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $33.20 / $112.25	Professional		$18.97	$33.20	$112.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $31.81 / $90.97	Facility		$18.97	$31.81	$90.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $19.54 / $52.10	Professional		$11.38	$19.54	$52.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $38.64 / $59.47	Facility		$23.24	$38.64	$59.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $37.94 / $52.10	Professional		$22.76	$37.94	$52.10
United Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Facility		$18.97	$18.97	$18.97
United Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $12.65 / $45.95	Professional		$11.38	$12.65	$45.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $18.97 / $18.97	Professional		$14.99	$18.97	$18.97