Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.99 / $38.90	Facility		$19.50	$23.99	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $1,288.25	Professional		$19.05	$23.99	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $41.69	Professional		$33.11	$33.11	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $151.36	Professional		$50.12	$57.54	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $23.99 / $33.11	Facility		$1.00	$23.99	$33.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $20.89	Professional		$19.50	$19.50	$20.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $22.91	Facility		$0.02	$0.02	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $20.42	Professional		$19.50	$19.50	$20.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50