Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $34.34 / $57.71	Facility		$19.03	$34.34	$57.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $13.59 / $113.49	Professional		$11.65	$13.59	$113.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $32.64 / $40.79	Professional		$20.65	$32.64	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $30.89 / $181.94	Professional		$17.64	$30.89	$181.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $24.97 / $71.91	Facility		$17.64	$24.97	$71.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $17.64 / $45.00	Professional		$10.59	$17.64	$45.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $35.97 / $48.77	Facility		$21.20	$35.97	$48.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $35.29 / $48.55	Professional		$21.18	$35.29	$48.55
United Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $26.48 / $26.48	Facility		$26.48	$26.48	$26.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $11.39 / $37.94	Professional		$10.59	$11.39	$37.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $17.64 / $17.64	Professional		$13.94	$17.64	$17.64