Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $52.48 / $74.13	Facility		$20.89	$52.48	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $43.65	Professional		$18.20	$22.91	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $66.07	Professional		$33.11	$52.48	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $50.12 / $144.54	Professional		$27.54	$50.12	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.88 / $72.44	Facility		$27.54	$33.88	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $27.54 / $60.26	Professional		$16.60	$27.54	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $35.48	Professional		$24.55	$33.11	$35.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $60.26	Facility		$27.54	$27.54	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.98 / $60.26	Professional		$16.60	$16.98	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $27.54	Professional		$21.88	$27.54	$27.54