Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $49.77 / $116.85	Facility		$15.89	$49.77	$116.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $23.48 / $88.00	Professional		$10.19	$23.48	$88.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $24.15 / $30.19	Professional		$15.28	$24.15	$30.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $19.86 / $63.92	Professional		$13.24	$19.86	$63.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $24.32 / $73.50	Facility		$13.24	$24.32	$73.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.24 / $34.56	Professional		$7.94	$13.24	$34.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $25.00 / $41.51	Facility		$15.90	$25.00	$41.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $25.00 / $36.24	Professional		$15.89	$25.00	$36.24
United Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Facility		$13.24	$13.24	$13.24
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.83 / $32.07	Professional		$7.94	$8.83	$32.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $13.24 / $13.24	Professional		$10.46	$13.24	$13.24