Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $47.86 / $69.18	Facility		$19.05	$47.86	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $25.12	Professional		$16.98	$19.95	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $58.88	Professional		$47.86	$47.86	$58.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.88 / $151.36	Professional		$21.38	$33.88	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.20 / $64.57	Facility		$25.12	$30.20	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $97.72	Professional		$15.14	$25.12	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $57.54	Facility		$25.12	$25.12	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $63.10	Professional		$15.14	$15.14	$63.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12