Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $56.23 / $151.36	Facility		$31.62	$56.23	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.20 / $141.25	Professional		$15.85	$30.20	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $51.29	Professional		$26.30	$40.74	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.90 / $186.21	Professional		$21.38	$38.90	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $27.54 / $66.07	Facility		$21.38	$27.54	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $54.95	Professional		$12.88	$25.70	$54.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.30 / $27.54	Professional		$25.70	$26.30	$27.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $46.77	Facility		$21.38	$21.38	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $51.29	Professional		$12.88	$17.78	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $21.38	Professional		$16.98	$21.38	$21.38