Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $49.04 / $74.65	Facility		$27.17	$49.04	$74.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $19.41 / $68.13	Professional		$16.64	$19.41	$68.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $45.70 / $57.12	Professional		$28.91	$45.70	$57.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $44.12 / $94.98	Professional		$25.21	$44.12	$94.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $36.22 / $113.97	Facility		$25.21	$36.22	$113.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $25.21 / $65.77	Professional		$15.13	$25.21	$65.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $47.94 / $79.03	Facility		$28.84	$47.94	$79.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $47.07 / $65.80	Professional		$21.51	$47.07	$65.80
United Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $37.82 / $37.82	Facility		$37.82	$37.82	$37.82
United Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $19.22 / $57.98	Professional		$15.13	$19.22	$57.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $25.21 / $25.21	Professional		$19.92	$25.21	$25.21