Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $50.12 / $144.54	Facility		$21.38	$50.12	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $144.54	Professional		$15.85	$25.70	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $52.48	Professional		$26.92	$41.69	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $53.70 / $131.83	Professional		$21.88	$53.70	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.84 / $97.72	Facility		$21.88	$28.84	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.30 / $57.54	Professional		$13.18	$26.30	$57.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.92 / $28.18	Professional		$26.30	$26.92	$28.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $48.98	Facility		$21.88	$21.88	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $53.70	Professional		$13.18	$18.62	$53.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $21.88	Professional		$17.38	$21.88	$21.88