Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $64.57 / $100.00	Facility		$25.70	$64.57	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $223.87	Professional		$21.88	$28.84	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $81.28	Professional		$40.74	$66.07	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $97.72	Professional		$33.88	$61.66	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $43.65 / $97.72	Facility		$33.88	$43.65	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $35.48 / $87.10	Professional		$20.42	$35.48	$87.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $43.65	Professional		$38.90	$40.74	$43.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $75.86	Facility		$33.88	$33.88	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $79.43	Professional		$20.42	$26.30	$79.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $33.88	Professional		$26.92	$33.88	$33.88