Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $52.48 / $87.10	Facility		$43.65	$52.48	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $60.26	Professional		$42.66	$44.67	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $54.95	Professional		$43.65	$44.67	$54.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $43.65 / $79.43	Professional		$22.39	$43.65	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $52.48 / $66.07	Facility		$18.20	$52.48	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.88 / $66.07	Professional		$19.50	$33.88	$66.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $64.57	Professional		$50.12	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $83.18	Facility		$0.05	$0.05	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $50.12	Professional		$43.65	$43.65	$50.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65