Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.02 / $39.81	Facility		$32.36	$38.02	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $60.26	Professional		$31.62	$36.31	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.20 / $37.15	Professional		$29.51	$30.20	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $50.12	Professional		$14.45	$23.99	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $41.69 / $56.23	Facility		$34.67	$41.69	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $48.98	Professional		$30.90	$36.31	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $57.54	Professional		$34.67	$57.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $38.02	Professional		$31.62	$35.48	$38.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62