Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $57.16 / $106.08	Facility		$24.18	$57.16	$106.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $18.62 / $93.28	Professional		$15.96	$18.62	$93.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $44.39 / $55.49	Professional		$28.08	$44.39	$55.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $42.32 / $99.35	Professional		$24.18	$42.32	$99.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $37.50 / $113.79	Facility		$24.18	$37.50	$113.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $24.91 / $61.91	Professional		$14.51	$24.91	$61.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.62 / $49.27 / $75.80	Facility		$29.62	$49.27	$75.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $49.27 / $66.50	Professional		$29.05	$49.27	$66.50
United Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $36.27 / $36.27	Facility		$36.27	$36.27	$36.27
United Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $14.51 / $55.61	Professional		$14.51	$14.51	$55.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $24.18 / $24.18	Professional		$19.10	$24.18	$24.18