Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $21.38 / $79.43	Facility		$20.89	$21.38	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $95.50	Professional		$20.89	$21.88	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.39 / $26.92	Professional		$21.88	$22.39	$26.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $95.50	Professional		$21.38	$30.20	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.12 / $38.90	Facility		$21.38	$25.12	$38.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $34.67	Professional		$21.38	$21.38	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $27.54	Professional		$25.12	$27.54	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $22.39	Professional		$21.38	$21.38	$22.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38