Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $30.45 / $49.31	Facility		$18.39	$30.45	$49.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $13.14 / $46.12	Professional		$11.26	$13.14	$46.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $28.35 / $155.61	Professional		$17.05	$28.35	$155.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $22.01 / $61.44	Facility		$17.05	$22.01	$61.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $17.05 / $39.24	Professional		$9.72	$17.05	$39.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $30.00 / $41.08	Facility		$14.21	$30.00	$41.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $28.63 / $41.08	Professional		$17.73	$28.63	$41.08
United Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $39.24	Facility		$17.05	$17.05	$39.24
United Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $10.24 / $37.19	Professional		$9.72	$10.24	$37.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $17.05 / $17.05	Professional		$13.48	$17.05	$17.05