Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $30.20	Facility		$15.14	$18.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $25.70	Professional		$15.14	$15.85	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $19.05	Professional		$15.14	$15.85	$19.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $114.82	Professional		$15.14	$26.92	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $18.20 / $25.12	Facility		$1.51	$18.20	$25.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $22.39	Professional		$15.14	$15.14	$22.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $19.50	Professional		$18.20	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.85	Professional		$15.14	$15.14	$15.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14