Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $66.07 / $147.91	Facility		$20.89	$66.07	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $36.31	Professional		$18.20	$22.91	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $56.23	Professional		$44.67	$44.67	$56.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.89 / $56.23	Professional		$12.30	$20.89	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $69.18 / $436.52	Facility		$24.55	$69.18	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $26.30 / $69.18	Professional		$11.48	$26.30	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $114.82	Professional		$20.42	$43.65	$114.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $389.05 / $524.81	Facility		$30.90	$389.05	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.78 / $54.95	Professional		$11.22	$17.78	$54.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $169.82	Professional		$134.90	$169.82	$169.82