Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $47.80 / $85.90	Facility		$21.80	$47.80	$85.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $15.57 / $54.65	Professional		$13.35	$15.57	$54.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $37.21 / $46.51	Professional		$23.54	$37.21	$46.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $35.39 / $172.37	Professional		$20.22	$35.39	$172.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $33.89 / $97.02	Facility		$20.22	$33.89	$97.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $20.83 / $55.41	Professional		$12.13	$20.83	$55.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.76 / $41.19 / $63.39	Facility		$24.76	$41.19	$63.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $41.19 / $57.92	Professional		$24.28	$41.19	$57.92
United Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $20.22 / $46.51	Facility		$20.22	$20.22	$46.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $16.51 / $46.51	Professional		$12.13	$16.51	$46.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $20.22 / $20.22	Professional		$15.97	$20.22	$20.22