Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $102.33 / $102.33	Facility		$19.95	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.38 / $102.33	Professional		$19.95	$21.38	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $25.70	Professional		$20.42	$25.70	$25.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $354.81	Professional		$42.66	$64.57	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $89.13 / $125.89	Facility		$10.00	$89.13	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $75.86 / $104.71	Professional		$25.70	$75.86	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $100.00	Professional		$81.28	$81.28	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.07 / $0.07 / $109.65	Facility		$0.07	$0.07	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $22.91	Professional		$19.95	$19.95	$22.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57