Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $75.86 / $109.65	Facility		$30.20	$75.86	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $57.54	Professional		$25.70	$33.88	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $95.50	Professional		$47.86	$77.62	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $52.48 / $72.44	Professional		$24.55	$52.48	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $47.86 / $89.13	Facility		$16.60	$47.86	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $23.99 / $79.43	Professional		$7.94	$23.99	$79.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $47.86 / $51.29	Professional		$12.59	$47.86	$51.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $89.13	Facility		$39.81	$39.81	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $23.99 / $46.77	Professional		$7.76	$23.99	$46.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $39.81	Professional		$31.62	$39.81	$39.81