Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $41.69 / $60.26	Facility		$15.85	$41.69	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $41.69	Professional		$14.13	$18.20	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $51.29	Professional		$30.90	$41.69	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $39.81	Professional		$21.88	$26.92	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.30 / $56.23	Facility		$18.62	$26.30	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $47.86	Professional		$10.00	$21.88	$47.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.30 / $26.30	Professional		$14.79	$26.30	$26.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $47.86	Facility		$21.88	$21.88	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $46.77	Professional		$10.00	$13.18	$46.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $21.88	Professional		$17.38	$21.88	$21.88