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 $28.18 / $28.18 / $35.48	Professional		$28.18	$28.18	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $151.36	Professional		$91.20	$95.50	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $35.48 / $85.11	Facility		$13.18	$35.48	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $21.88 / $52.48	Professional		$8.13	$21.88	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $35.48	Professional		$13.18	$13.18	$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 $8.13 / $13.18 / $40.74	Professional		$8.13	$13.18	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $25.12	Professional		$19.50	$25.12	$25.12