Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.84 / $59.73 / $80.34	Facility		$37.84	$59.73	$80.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $21.62 / $21.62	Professional		$21.62	$21.62	$21.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $12.19 / $12.19	Professional		$9.75	$12.19	$12.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $25.46 / $150.00	Professional		$13.59	$25.46	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $20.09 / $32.24	Facility		$12.00	$20.09	$32.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $22.52 / $32.24	Professional		$12.00	$22.52	$32.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $22.86 / $32.24	Facility		$17.48	$22.86	$32.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $22.86 / $35.13	Professional		$10.73	$22.86	$35.13
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 $22.52 / $22.52 / $23.20	Professional		$22.52	$22.52	$23.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $8.07 / $8.07	Facility		$8.07	$8.07	$8.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $8.07	Professional		$8.07	$8.07	$8.07