Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $39.82 / $61.64	Facility		$18.16	$39.82	$61.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $12.97 / $108.35	Professional		$11.12	$12.97	$108.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $30.68 / $38.35	Professional		$19.41	$30.68	$38.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $29.49 / $101.04	Professional		$16.85	$29.49	$101.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $24.34 / $70.34	Facility		$16.85	$24.34	$70.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $16.85 / $41.79	Professional		$10.11	$16.85	$41.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $30.90 / $51.04	Facility		$17.77	$30.90	$51.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $30.90 / $43.98	Professional		$20.22	$30.90	$43.98
United Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $25.28 / $25.28	Facility		$25.28	$25.28	$25.28
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $12.17 / $38.76	Professional		$10.11	$12.17	$38.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $16.85 / $16.85	Professional		$13.31	$16.85	$16.85