Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $47.86 / $169.82	Facility		$15.14	$47.86	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $165.96	Professional		$14.13	$19.05	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $48.98	Professional		$24.55	$38.90	$48.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $72.44	Professional		$20.42	$30.90	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $24.55 / $46.77	Facility		$15.14	$24.55	$46.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $18.62 / $41.69	Professional		$7.59	$18.62	$41.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $24.55 / $26.30	Professional		$10.96	$24.55	$26.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $45.71	Facility		$20.42	$20.42	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.30 / $38.02	Professional		$7.59	$12.30	$38.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $20.42	Professional		$16.22	$20.42	$20.42