Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $64.57 / $81.28	Facility		$22.91	$64.57	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $46.77	Professional		$19.05	$25.12	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $70.79	Professional		$36.31	$56.23	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $72.44 / $151.36	Professional		$29.51	$72.44	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.02 / $93.33	Facility		$29.51	$38.02	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $35.48 / $77.62	Professional		$17.78	$35.48	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $36.31 / $38.02	Professional		$35.48	$36.31	$38.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $64.57	Facility		$29.51	$29.51	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $70.79	Professional		$17.78	$24.55	$70.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $29.51	Professional		$23.44	$29.51	$29.51