Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $62.05 / $249.60	Facility		$20.48	$62.05	$249.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $13.30 / $119.26	Professional		$13.30	$13.30	$119.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.91 / $94.56	Professional		$19.00	$25.91	$94.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $22.45 / $82.03	Facility		$17.27	$22.45	$82.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $39.72	Professional		$10.36	$10.36	$39.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $30.22 / $66.30	Facility		$20.74	$30.22	$66.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $30.22 / $37.85	Professional		$20.72	$30.22	$37.85
United Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $17.27	Facility		$17.27	$17.27	$17.27
United Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $35.36	Professional		$10.36	$10.36	$35.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $17.27 / $17.27	Professional		$13.64	$17.27	$17.27