Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $41.69 / $63.10	Facility		$15.85	$41.69	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $30.90	Professional		$15.14	$19.05	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $52.48	Professional		$28.18	$41.69	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $48.98 / $144.54	Professional		$21.88	$48.98	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.90 / $63.10	Facility		$21.88	$30.90	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.18 / $112.20	Professional		$13.18	$28.18	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $28.18	Professional		$26.30	$26.30	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $50.12	Facility		$21.88	$21.88	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.49 / $56.23	Professional		$13.18	$13.49	$56.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88