Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $45.71 / $70.79	Facility		$18.20	$45.71	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $48.98	Professional		$15.85	$20.89	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $58.88	Professional		$29.51	$46.77	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $58.88 / $128.82	Professional		$24.55	$58.88	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $31.62 / $75.86	Facility		$24.55	$31.62	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.84 / $63.10	Professional		$14.45	$28.84	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $31.62	Professional		$29.51	$29.51	$31.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $53.70	Facility		$24.55	$24.55	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $58.88	Professional		$14.45	$20.42	$58.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $24.55	Professional		$19.05	$24.55	$24.55