Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $51.29 / $158.49	Facility		$16.98	$51.29	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $29.51 / $87.10	Professional		$12.02	$29.51	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $40.74	Professional		$20.42	$32.36	$40.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $120.23	Professional		$16.98	$30.20	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $26.30 / $81.28	Facility		$16.98	$26.30	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.38 / $43.65	Professional		$10.00	$17.38	$43.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $21.88	Professional		$20.42	$20.42	$21.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $37.15	Facility		$16.98	$16.98	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $40.74	Professional		$10.00	$14.13	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.98 / $16.98	Professional		$13.18	$16.98	$16.98