Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $35.48 / $74.13	Facility		$14.13	$35.48	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $28.84	Professional		$12.02	$15.85	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $44.67	Professional		$26.92	$35.48	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.88 / $151.36	Professional		$18.62	$33.88	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $24.55 / $58.88	Facility		$18.62	$24.55	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $22.39 / $48.98	Professional		$11.22	$22.39	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.91	Professional		$22.39	$22.39	$22.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $41.69	Facility		$18.62	$18.62	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $45.71	Professional		$11.22	$15.85	$45.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $18.62	Professional		$14.79	$18.62	$18.62