Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $42.00 / $64.06	Facility		$24.64	$42.00	$64.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $12.97 / $70.20	Professional		$11.12	$12.97	$70.20
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 / $25.28 / $77.04	Professional		$16.85	$25.28	$77.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $26.12 / $79.69	Facility		$16.85	$26.12	$79.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $16.85 / $46.51	Professional		$10.11	$16.85	$46.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $34.33 / $52.29	Facility		$20.64	$34.33	$52.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $34.33 / $48.53	Professional		$20.22	$34.33	$48.53
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 / $14.12 / $38.76	Professional		$10.11	$14.12	$38.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $16.85 / $16.85	Professional		$13.31	$16.85	$16.85