Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $34.67 / $53.70	Facility		$14.13	$34.67	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $28.84	Professional		$12.02	$15.14	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $35.48 / $43.65	Professional		$21.88	$35.48	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $125.89	Professional		$18.20	$33.11	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.99 / $57.54	Facility		$18.20	$23.99	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $45.71	Professional		$10.96	$19.95	$45.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $23.44	Professional		$19.95	$21.88	$23.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $40.74	Facility		$18.20	$18.20	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $42.66	Professional		$10.96	$13.80	$42.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $18.20	Professional		$14.45	$18.20	$18.20