Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $44.78 / $105.11	Facility		$18.93	$44.78	$105.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $23.58 / $103.20	Professional		$10.86	$23.58	$103.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.03 / $37.54	Professional		$19.00	$30.03	$37.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $28.81 / $67.66	Professional		$16.46	$28.81	$67.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $28.09 / $59.94	Facility		$16.46	$28.09	$59.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $16.46 / $42.96	Professional		$9.88	$16.46	$42.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $33.53 / $51.60	Facility		$20.17	$33.53	$51.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $33.53 / $45.45	Professional		$19.77	$33.53	$45.45
United Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $24.69 / $24.69	Facility		$24.69	$24.69	$24.69
United Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $13.81 / $39.86	Professional		$9.88	$13.81	$39.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $16.46 / $16.46	Professional		$13.00	$16.46	$16.46