Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $44.89 / $199.23	Facility		$25.82	$44.89	$199.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $13.59 / $66.00	Professional		$11.65	$13.59	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $30.89 / $99.78	Professional		$17.64	$30.89	$99.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $29.04 / $83.70	Facility		$17.64	$29.04	$83.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $18.18 / $47.66	Professional		$10.59	$18.18	$47.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $35.29 / $55.33	Facility		$21.21	$35.29	$55.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $35.29 / $49.62	Professional		$21.20	$35.29	$49.62
United Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $17.64	Facility		$17.64	$17.64	$17.64
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $14.52 / $41.97	Professional		$10.59	$14.52	$41.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $17.64 / $17.64	Professional		$13.94	$17.64	$17.64