Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $37.15 / $53.99	Facility		$21.08	$37.15	$53.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $15.06 / $78.23	Professional		$12.91	$15.06	$78.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $35.25 / $44.06	Professional		$22.30	$35.25	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $25.43 / $82.64	Professional		$19.55	$25.43	$82.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $25.24 / $53.21	Facility		$16.00	$25.24	$53.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $19.55 / $49.00	Professional		$7.66	$19.55	$49.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.96 / $29.89 / $46.29	Facility		$23.96	$29.89	$46.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $32.82 / $51.05	Professional		$23.47	$32.82	$51.05
United Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.55 / $44.99	Facility		$19.55	$19.55	$44.99
United Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $11.74 / $27.32	Professional		$7.66	$11.74	$27.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $19.55 / $19.55	Professional		$15.45	$19.55	$19.55