Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $52.38 / $70.20	Facility		$24.23	$52.38	$70.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $17.30 / $45.12	Professional		$14.84	$17.30	$45.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $40.47 / $50.59	Professional		$25.61	$40.47	$50.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $32.60 / $52.66	Professional		$22.48	$32.60	$52.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $29.01 / $86.31	Facility		$22.48	$29.01	$86.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $23.58 / $49.26	Professional		$22.48	$23.58	$49.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $41.21 / $58.55	Facility		$20.23	$41.21	$58.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $37.72 / $58.55	Professional		$24.98	$37.72	$58.55
United Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $33.72	Facility		$33.72	$33.72	$33.72
United Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $22.48 / $46.15	Professional		$22.48	$22.48	$46.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $22.48 / $22.48	Professional		$17.76	$22.48	$22.48