Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $32.36	Professional		$26.30	$26.30	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $151.36	Professional		$60.26	$63.10	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $45.71 / $112.20	Facility		$13.49	$45.71	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $21.88 / $52.48	Professional		$7.76	$21.88	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $35.48	Professional		$13.49	$13.49	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $28.84	Facility		$23.99	$23.99	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.18 / $40.74	Professional		$7.76	$13.18	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $25.12	Professional		$19.95	$25.12	$25.12