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 $14.13 / $16.98 / $33.88	Professional		$14.13	$16.98	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $47.86	Professional		$25.70	$38.02	$47.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $51.29 / $123.03	Professional		$19.50	$51.29	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.70 / $61.66	Facility		$19.50	$25.70	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.44 / $52.48	Professional		$11.75	$23.44	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $25.70	Professional		$23.44	$25.12	$25.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
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 $11.75 / $17.38 / $47.86	Professional		$11.75	$17.38	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $19.50	Professional		$15.49	$19.50	$19.50