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 $27.54 / $27.54 / $34.67	Professional		$27.54	$27.54	$34.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $151.36	Professional		$97.72	$102.33	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $35.48 / $85.11	Facility		$18.20	$35.48	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.88 / $53.70	Professional		$12.88	$21.88	$53.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $35.48	Professional		$18.20	$18.20	$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 $12.88 / $13.18 / $47.86	Professional		$12.88	$13.18	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $25.12	Professional		$19.95	$25.12	$25.12