Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $38.90 / $58.88	Facility		$15.14	$38.90	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $40.74	Professional		$12.88	$17.38	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $48.98	Professional		$25.12	$38.90	$48.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $37.15 / $186.21	Professional		$22.39	$37.15	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $26.30 / $64.57	Facility		$20.42	$26.30	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $24.55 / $53.70	Professional		$12.30	$24.55	$53.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $25.12 / $26.30	Professional		$24.55	$25.12	$26.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $44.67	Facility		$20.42	$20.42	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $48.98	Professional		$12.30	$16.98	$48.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $20.42	Professional		$16.22	$20.42	$20.42