Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $41.65 / $55.02	Facility		$19.50	$41.65	$55.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $13.93 / $35.09	Professional		$11.94	$13.93	$35.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $32.84 / $41.04	Professional		$20.77	$32.84	$41.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $31.66 / $39.15	Professional		$18.09	$31.66	$39.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $23.52 / $63.09	Facility		$18.09	$23.52	$63.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $18.91 / $39.65	Professional		$18.09	$18.91	$39.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $33.00 / $47.30	Facility		$15.86	$33.00	$47.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $31.19 / $47.21	Professional		$19.57	$31.19	$47.21
United Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $27.14 / $27.14	Facility		$27.14	$27.14	$27.14
United Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $18.09 / $37.27	Professional		$18.09	$18.09	$37.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $18.09 / $18.09	Professional		$14.29	$18.09	$18.09