Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $60.26 / $87.10	Facility		$23.99	$60.26	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $37.15	Professional		$19.95	$25.12	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $75.86	Professional		$45.71	$60.26	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $57.54	Professional		$26.92	$40.74	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.02 / $81.28	Facility		$31.62	$38.02	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $69.18	Professional		$19.05	$19.05	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $69.18	Facility		$31.62	$31.62	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $69.18	Professional		$19.05	$19.05	$69.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $31.62	Professional		$25.12	$31.62	$31.62