Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $79.43 / $79.43	Facility		$6.76	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $79.43	Professional		$6.03	$7.08	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $8.51	Professional		$6.76	$8.51	$8.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.84 / $177.83	Professional		$16.22	$28.84	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.62 / $95.50	Facility		$15.14	$18.62	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $39.81	Professional		$15.49	$15.49	$39.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $95.50	Professional		$24.55	$24.55	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $35.48	Facility		$0.02	$0.02	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $11.75	Professional		$6.76	$6.76	$11.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22