Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $29.81 / $65.11	Facility		$17.62	$29.81	$65.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $11.80 / $43.43	Professional		$10.11	$11.80	$43.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.42 / $34.27	Professional		$17.35	$27.42	$34.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $26.81 / $124.58	Professional		$15.32	$26.81	$124.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $25.69 / $81.15	Facility		$15.32	$25.69	$81.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $15.78 / $41.01	Professional		$9.19	$15.78	$41.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $31.22 / $48.03	Facility		$18.77	$31.22	$48.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $31.22 / $41.01	Professional		$18.38	$31.22	$41.01
United Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Facility		$15.32	$15.32	$15.32
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $12.85 / $38.74	Professional		$9.19	$12.85	$38.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $15.32 / $15.32	Professional		$12.10	$15.32	$15.32