Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $29.51 / $72.44	Facility		$19.95	$29.51	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $38.90	Professional		$16.98	$22.91	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $66.07	Professional		$38.90	$52.48	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $239.88	Professional		$29.51	$47.86	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $32.36 / $72.44	Facility		$26.92	$32.36	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $61.66	Professional		$16.22	$16.22	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $34.67	Professional		$32.36	$32.36	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $60.26	Facility		$26.92	$26.92	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $58.88	Professional		$16.22	$16.22	$58.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $26.92	Professional		$21.38	$26.92	$26.92