Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $74.13 / $154.88	Facility		$33.88	$74.13	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $39.81	Professional		$19.95	$25.70	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $61.66	Professional		$50.12	$50.12	$61.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.78 / $144.54	Professional		$10.47	$17.78	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $70.79 / $436.52	Facility		$28.84	$70.79	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.84 / $77.62	Professional		$13.18	$28.84	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $47.86 / $138.04	Professional		$22.91	$47.86	$138.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $389.05 / $524.81	Facility		$33.88	$389.05	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $61.66	Professional		$12.88	$19.95	$61.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $169.82	Professional		$134.90	$169.82	$169.82