Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $48.81 / $87.75	Facility		$22.26	$48.81	$87.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $15.90 / $55.81	Professional		$13.63	$15.90	$55.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $37.86 / $47.33	Professional		$23.95	$37.86	$47.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $30.98 / $54.46	Professional		$20.65	$30.98	$54.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $34.61 / $99.43	Facility		$20.65	$34.61	$99.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $20.65 / $56.99	Professional		$12.39	$20.65	$56.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $42.07 / $64.73	Facility		$25.29	$42.07	$64.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $42.07 / $59.16	Professional		$24.78	$42.07	$59.16
United Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $20.65 / $20.65	Facility		$20.65	$20.65	$20.65
United Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $17.30 / $50.03	Professional		$12.39	$17.30	$50.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $20.65 / $20.65	Professional		$16.30	$20.65	$20.65