Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $53.70 / $53.70 / $67.61	Professional		$53.70	$53.70	$67.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $151.36	Professional		$114.82	$123.03	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $35.48 / $85.11	Facility		$26.92	$35.48	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $54.95	Professional		$13.18	$21.88	$54.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Professional		$26.92	$26.92	$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 $13.18 / $16.22 / $54.95	Professional		$13.18	$16.22	$54.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $25.12	Professional		$19.95	$25.12	$25.12