Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $41.69 / $281.84	Facility		$15.49	$41.69	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $154.88	Professional		$10.96	$15.14	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $37.15	Professional		$19.05	$29.51	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $26.92 / $151.36	Professional		$15.49	$26.92	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.95 / $48.98	Facility		$15.49	$19.95	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $40.74	Professional		$15.49	$21.88	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.05 / $19.95	Professional		$18.62	$19.05	$19.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $33.88	Facility		$15.49	$15.49	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.49 / $35.48	Professional		$13.49	$15.49	$35.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $15.49	Professional		$12.30	$15.49	$15.49