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 $15.49 / $15.49 / $19.05	Professional		$15.49	$15.49	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $51.29	Professional		$41.69	$41.69	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $151.36	Professional		$83.18	$89.13	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $39.81 / $91.20	Facility		$25.70	$39.81	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $53.70	Professional		$13.18	$21.88	$53.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $35.48	Professional		$16.98	$16.98	$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 / $13.80 / $48.98	Professional		$13.18	$13.80	$48.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $25.12	Professional		$19.95	$25.12	$25.12