Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $43.84 / $78.78	Facility		$19.98	$43.84	$78.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $14.28 / $50.12	Professional		$12.24	$14.28	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.29 / $41.62	Professional		$21.06	$33.29	$41.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $32.45 / $72.78	Professional		$18.54	$32.45	$72.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $31.09 / $89.72	Facility		$18.54	$31.09	$89.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $19.10 / $50.99	Professional		$11.12	$19.10	$50.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.71 / $37.77 / $58.12	Facility		$22.71	$37.77	$58.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $37.77 / $53.11	Professional		$22.26	$37.77	$53.11
United Facility/Professional Facility Modifier Low / Median / High Price $27.81 / $27.81 / $27.81	Facility		$27.81	$27.81	$27.81
United Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $15.14 / $46.89	Professional		$11.12	$15.14	$46.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $18.54 / $18.54	Professional		$14.65	$18.54	$18.54