Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $39.81 / $60.26	Facility		$15.85	$39.81	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $41.69	Professional		$12.88	$16.98	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $51.29	Professional		$25.12	$40.74	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $45.71 / $57.54	Professional		$20.89	$45.71	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.92 / $66.07	Facility		$20.89	$26.92	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.91 / $52.48	Professional		$12.59	$22.91	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.12 / $26.92	Professional		$22.91	$25.12	$26.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $46.77	Facility		$20.89	$20.89	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $47.86	Professional		$12.59	$15.85	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.89 / $20.89	Professional		$16.60	$20.89	$20.89