Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $54.83 / $120.07	Facility		$21.87	$54.83	$120.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $15.62 / $45.36	Professional		$13.38	$15.62	$45.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $37.21 / $46.51	Professional		$23.54	$37.21	$46.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $25.35 / $80.18	Professional		$12.89	$25.35	$80.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $26.17 / $55.41	Facility		$10.36	$26.17	$55.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $20.28 / $51.00	Professional		$4.57	$20.28	$51.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.34 / $28.39 / $44.44	Facility		$24.34	$28.39	$44.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $37.17 / $52.93	Professional		$24.34	$37.17	$52.93
United Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $30.42 / $30.42	Facility		$30.42	$30.42	$30.42
United Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $12.17 / $46.64	Professional		$4.70	$12.17	$46.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $20.28 / $20.28	Professional		$16.02	$20.28	$20.28