Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $21.38 / $38.90	Facility		$19.50	$21.38	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.89 / $165.96	Professional		$19.05	$20.89	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $25.12	Professional		$19.95	$19.95	$25.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $35.48	Professional		$19.50	$19.50	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $17.38 / $26.92	Facility		$11.75	$17.38	$26.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $17.38 / $26.30	Professional		$7.94	$17.38	$26.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.39 / $22.39	Professional		$16.60	$22.39	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $19.95	Professional		$17.38	$19.50	$19.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50