Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.38 / $36.79 / $59.97	Facility		$20.38	$36.79	$59.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $14.56 / $51.11	Professional		$12.48	$14.56	$51.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $33.95 / $42.43	Professional		$21.48	$33.95	$42.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $33.09 / $78.30	Professional		$18.91	$33.09	$78.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $31.72 / $90.81	Facility		$18.91	$31.72	$90.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $18.91 / $52.10	Professional		$11.35	$18.91	$52.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $38.53 / $59.28	Facility		$22.72	$38.53	$59.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $37.82 / $52.10	Professional		$9.99	$37.82	$52.10
United Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $18.91 / $18.91	Facility		$18.91	$18.91	$18.91
United Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $16.07 / $47.82	Professional		$11.35	$16.07	$47.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $18.91 / $18.91	Professional		$14.94	$18.91	$18.91