Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $48.98 / $74.13	Facility		$19.05	$48.98	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $40.74	Professional		$15.85	$20.89	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $61.66	Professional		$36.31	$48.98	$61.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $47.86 / $66.07	Professional		$25.70	$47.86	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.90 / $70.79	Facility		$25.70	$30.90	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.70 / $56.23	Professional		$15.49	$25.70	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $30.90	Professional		$23.99	$30.90	$30.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $56.23	Facility		$25.70	$25.70	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.85 / $56.23	Professional		$15.49	$15.85	$56.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $25.70	Professional		$20.42	$25.70	$25.70