Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $23.44 / $23.44	Facility		$21.88	$23.44	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $33.88	Professional		$21.88	$21.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $28.18	Professional		$22.39	$26.30	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $27.54 / $77.62	Professional		$15.49	$27.54	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.91 / $33.88	Facility		$15.85	$22.91	$33.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $30.90	Professional		$16.98	$23.44	$30.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $23.99	Professional		$19.95	$22.91	$23.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88