Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $58.88 / $91.20	Facility		$23.99	$58.88	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $38.90	Professional		$19.95	$25.70	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $74.13	Professional		$40.74	$60.26	$74.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $123.03	Professional		$30.90	$52.48	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.90 / $74.13	Facility		$30.90	$38.90	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $37.15 / $112.20	Professional		$17.38	$37.15	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $40.74	Professional		$37.15	$37.15	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $72.44	Facility		$30.90	$30.90	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.62 / $79.43	Professional		$16.98	$18.62	$79.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90