Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $57.50 / $219.00	Professional		$17.16	$57.50	$219.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.59 / $31.41	Professional		$25.12	$29.59	$31.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $15.85 / $107.58	Professional		$10.58	$15.85	$107.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $25.41 / $34.19	Professional		$17.10	$25.41	$34.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $28.83 / $33.63	Professional		$21.56	$28.83	$33.63
United Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $20.11 / $33.81	Professional		$14.46	$20.11	$33.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70