Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $42.70 / $88.43	Facility		$19.47	$42.70	$88.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $13.91 / $48.82	Professional		$11.92	$13.91	$48.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $31.61 / $83.36	Professional		$18.05	$31.61	$83.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $32.15 / $100.66	Facility		$18.05	$32.15	$100.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $18.23 / $53.00	Professional		$10.84	$18.23	$53.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.31 / $36.78 / $58.54	Facility		$23.31	$36.78	$58.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $37.20 / $56.62	Professional		$21.67	$37.20	$56.62
United Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $27.09	Facility		$27.09	$27.09	$27.09
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.89 / $41.54	Professional		$10.84	$15.89	$41.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $18.05 / $18.05	Professional		$14.27	$18.05	$18.05