Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $29.51 / $29.51	Facility		$25.12	$29.51	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $43.65	Professional		$23.99	$29.51	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $35.48	Professional		$28.18	$28.18	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $64.57	Professional		$12.88	$19.95	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $29.51 / $58.88	Facility		$27.54	$29.51	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.62 / $42.66	Professional		$27.54	$31.62	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $63.10	Facility		$27.54	$27.54	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.62 / $33.11	Professional		$27.54	$31.62	$33.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55