Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $55.28 / $322.67	Facility		$23.53	$55.28	$322.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $15.75 / $55.28	Professional		$13.50	$15.75	$55.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $37.21 / $46.51	Professional		$23.54	$37.21	$46.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $26.60 / $62.91	Professional		$20.46	$26.60	$62.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $24.55 / $52.38	Facility		$13.89	$24.55	$52.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $16.53 / $44.84	Professional		$7.56	$16.53	$44.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $26.60 / $44.84	Facility		$11.04	$26.60	$44.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $26.40 / $44.84	Professional		$15.46	$26.40	$44.84
United Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $20.46 / $20.46	Facility		$20.46	$20.46	$20.46
United Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $12.28 / $40.65	Professional		$7.66	$12.28	$40.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $20.46 / $20.46	Professional		$16.16	$20.46	$20.46