Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $36.31 / $54.95	Facility		$14.13	$36.31	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $125.89	Professional		$12.02	$15.85	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $36.31 / $45.71	Professional		$23.44	$36.31	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $186.21	Professional		$20.89	$33.11	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $24.55 / $50.12	Facility		$19.05	$24.55	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.89 / $47.86	Professional		$10.96	$20.89	$47.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.44 / $24.55	Professional		$22.91	$23.44	$24.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $41.69	Facility		$19.05	$19.05	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.48 / $43.65	Professional		$10.96	$11.48	$43.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $19.05	Professional		$14.79	$19.05	$19.05