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 $15.14 / $15.14 / $19.05	Professional		$15.14	$15.14	$19.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $151.36	Professional		$87.10	$91.20	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $35.48 / $85.11	Facility		$9.33	$35.48	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.88 / $53.70	Professional		$12.59	$21.88	$53.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $35.48	Professional		$9.33	$9.33	$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 $12.59 / $13.18 / $47.86	Professional		$12.59	$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