Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.11 / $47.86	Facility		$12.88	$33.11	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.95	Professional		$10.96	$12.88	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.11 / $41.69	Professional		$24.55	$33.11	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.39 / $30.90	Professional		$14.79	$22.39	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.89 / $45.71	Facility		$17.38	$20.89	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $39.81	Professional		$10.47	$10.47	$39.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $67.61	Professional		$20.89	$22.39	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $38.02	Facility		$17.38	$17.38	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $38.02	Professional		$10.47	$10.47	$38.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $17.38	Professional		$13.49	$17.38	$17.38