Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $34.67 / $53.70	Facility		$14.13	$34.67	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $28.18	Professional		$12.02	$15.85	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $43.65	Professional		$22.39	$35.48	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $44.67 / $89.13	Professional		$18.20	$44.67	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.99 / $57.54	Facility		$18.20	$23.99	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.88 / $47.86	Professional		$10.96	$21.88	$47.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.39 / $23.99	Professional		$21.88	$22.39	$23.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $40.74	Facility		$18.20	$18.20	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $44.67	Professional		$10.96	$15.49	$44.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $18.20	Professional		$14.45	$18.20	$18.20