Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $37.15 / $56.23	Facility		$15.14	$37.15	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $77.62	Professional		$12.02	$16.98	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $46.77	Professional		$23.99	$37.15	$46.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $95.50	Professional		$19.50	$29.51	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.99 / $51.29	Facility		$19.50	$23.99	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $19.50 / $48.98	Professional		$7.59	$19.50	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.99 / $25.12	Professional		$23.44	$23.99	$25.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $43.65	Facility		$19.50	$19.50	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.75 / $39.81	Professional		$7.41	$11.75	$39.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $19.50	Professional		$15.49	$19.50	$19.50