Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $48.98 / $75.86	Facility		$19.95	$48.98	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $39.81	Professional		$18.20	$22.91	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $50.12 / $63.10	Professional		$33.88	$50.12	$63.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $69.18	Professional		$26.30	$44.67	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $37.15 / $81.28	Facility		$26.30	$37.15	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.88 / $144.54	Professional		$15.49	$33.88	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $33.88	Professional		$31.62	$31.62	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $60.26	Facility		$26.30	$26.30	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $70.79	Professional		$15.49	$16.22	$70.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30