Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $52.48 / $263.03	Facility		$18.20	$52.48	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $34.67 / $154.88	Professional		$12.88	$34.67	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.67 / $42.66	Professional		$22.39	$34.67	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $125.89	Professional		$18.20	$33.11	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.44 / $69.18	Facility		$18.20	$23.44	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $47.86	Professional		$10.96	$18.20	$47.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.39 / $23.44	Professional		$21.88	$22.39	$23.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $39.81	Facility		$18.20	$18.20	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $41.69	Professional		$10.96	$15.14	$41.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $18.20	Professional		$14.45	$18.20	$18.20