Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $43.65 / $114.82	Facility		$16.98	$43.65	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.39 / $102.33	Professional		$12.02	$22.39	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.20 / $38.02	Professional		$19.50	$30.20	$38.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.90 / $112.20	Professional		$15.85	$38.90	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.91 / $51.29	Facility		$15.85	$22.91	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.22 / $41.69	Professional		$9.55	$16.22	$41.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $151.36	Professional		$19.05	$20.42	$151.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $35.48	Facility		$15.85	$15.85	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $36.31	Professional		$9.55	$13.18	$36.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $15.85	Professional		$12.59	$15.85	$15.85