Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $48.26 / $139.71	Facility		$22.01	$48.26	$139.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $15.72 / $55.18	Professional		$13.48	$15.72	$55.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $37.21 / $46.51	Professional		$23.54	$37.21	$46.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $35.74 / $178.35	Professional		$20.42	$35.74	$178.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $34.24 / $98.24	Facility		$20.42	$34.24	$98.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $21.03 / $55.41	Professional		$12.25	$21.03	$55.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $41.61 / $64.02	Facility		$25.01	$41.61	$64.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $41.61 / $58.49	Professional		$24.52	$41.61	$58.49
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.25 / $46.97	Professional		$12.25	$12.25	$46.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $20.42 / $20.42	Professional		$16.13	$20.42	$20.42