Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $23.44 / $95.50	Facility		$21.38	$23.44	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $36.31	Professional		$19.95	$22.39	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $26.92	Professional		$21.88	$21.88	$26.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $20.89 / $46.77	Professional		$6.61	$20.89	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $23.99 / $38.90	Facility		$6.76	$23.99	$38.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $21.88 / $32.36	Professional		$8.91	$21.88	$32.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $28.18	Professional		$23.99	$28.18	$28.18
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 $21.38 / $21.38 / $21.88	Professional		$21.38	$21.38	$21.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89