Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.90 / $46.33 / $154.56	Facility		$24.90	$46.33	$154.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $24.90 / $124.08	Professional		$13.11	$24.90	$124.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $31.33 / $39.17	Professional		$19.82	$31.33	$39.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $29.80 / $82.27	Professional		$17.03	$29.80	$82.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $26.12 / $82.46	Facility		$17.03	$26.12	$82.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $17.03 / $44.45	Professional		$10.22	$17.03	$44.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $34.69 / $53.39	Facility		$20.86	$34.69	$53.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $34.69 / $48.80	Professional		$20.45	$34.69	$48.80
United Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $25.55 / $25.55	Facility		$25.55	$25.55	$25.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.45 / $39.17	Professional		$10.22	$10.45	$39.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $17.03 / $17.03	Professional		$13.45	$17.03	$17.03