Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $85.11 / $85.11	Facility		$13.18	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $85.11	Professional		$12.88	$14.13	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $16.60	Professional		$13.49	$16.60	$16.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $251.19	Professional		$28.84	$51.29	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $47.86 / $199.53	Facility		$26.92	$47.86	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $173.78	Professional		$26.92	$30.90	$173.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $40.74	Professional		$33.11	$33.11	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $36.31	Facility		$0.02	$0.02	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $22.39	Professional		$13.18	$13.18	$22.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84