Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $27.16 / $52.28	Facility		$27.16	$27.16	$52.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $27.16 / $6,033.73	Professional		$23.65	$27.16	$6,033.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $23.59 / $29.48	Professional		$23.59	$23.59	$29.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $32.17 / $46.79	Professional		$23.65	$32.17	$46.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $27.16 / $35.61	Facility		$23.63	$27.16	$35.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $29.88	Professional		$23.63	$23.63	$29.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $34.76 / $54.45	Facility		$27.76	$34.76	$54.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $27.76 / $34.76	Professional		$26.42	$27.76	$34.76
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $24.36	Professional		$23.65	$23.65	$24.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Facility		$23.63	$23.63	$23.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.63	Professional		$23.63	$23.63	$23.63