Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $51.29 / $74.13	Facility		$19.95	$51.29	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $33.88	Professional		$16.98	$22.91	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $66.07	Professional		$32.36	$52.48	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $47.86	Professional		$19.95	$28.84	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $32.36 / $60.26	Facility		$13.49	$32.36	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $16.22 / $53.70	Professional		$6.46	$16.22	$53.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $32.36 / $34.67	Professional		$10.47	$32.36	$34.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $60.26	Facility		$26.92	$26.92	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $16.22 / $32.36	Professional		$6.31	$16.22	$32.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $26.92	Professional		$21.38	$26.92	$26.92