Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $51.29 / $77.62	Facility		$19.95	$51.29	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $53.70	Professional		$16.98	$21.88	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $64.57	Professional		$32.36	$51.29	$64.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $81.28	Professional		$26.92	$45.71	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $32.36 / $69.18	Facility		$26.30	$32.36	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.92 / $58.88	Professional		$14.45	$26.92	$58.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $34.67	Professional		$20.89	$32.36	$34.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $58.88	Facility		$26.92	$26.92	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.22 / $54.95	Professional		$14.45	$16.22	$54.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $26.92	Professional		$21.38	$26.92	$26.92