Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $63.10 / $295.12	Facility		$19.95	$63.10	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $114.82	Professional		$16.98	$22.91	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $64.57	Professional		$33.11	$51.29	$64.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $151.36	Professional		$26.92	$48.98	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $34.67 / $83.18	Facility		$26.92	$34.67	$83.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $27.54 / $69.18	Professional		$16.22	$27.54	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $34.67	Professional		$32.36	$33.11	$34.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $58.88	Facility		$26.92	$26.92	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $64.57	Professional		$16.22	$21.88	$64.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $26.92	Professional		$21.38	$26.92	$26.92