Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $30.90	Professional		$15.85	$19.95	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.84 / $54.95	Professional		$13.49	$28.84	$54.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $35.48 / $123.03	Professional		$21.38	$35.48	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $97.72	Facility		$19.95	$30.20	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $51.29 / $165.96	Professional		$26.30	$51.29	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $69.18	Professional		$25.12	$34.67	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $60.26	Professional		$22.39	$26.30	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $63.10	Professional		$37.15	$53.70	$63.10