Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $33.43 / $85.85	Professional		$11.45	$33.43	$85.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.60 / $35.59 / $35.59	Professional	25	$19.60	$35.59	$35.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $42.07 / $52.59	Professional		$42.07	$42.07	$52.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $29.51 / $59.46	Professional		$18.28	$29.51	$59.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.29 / $45.25	Professional		$13.49	$25.29	$45.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $34.83 / $47.68	Professional		$20.00	$34.83	$47.68
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $31.06	Professional		$13.49	$13.49	$31.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $24.90 / $24.90	Professional		$24.90	$24.90	$24.90