Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $33.88	Professional		$18.20	$28.84	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $52.48	Professional		$41.69	$41.69	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $50.12 / $213.80	Professional		$36.31	$50.12	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $45.71 / $169.82	Facility		$33.88	$45.71	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $39.81 / $63.10	Professional		$17.78	$39.81	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $45.71 / $48.98	Professional		$39.81	$45.71	$48.98
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 $17.78 / $30.20 / $63.10	Professional		$17.78	$30.20	$63.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31