Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $28.18 / $40.74	Facility		$10.96	$28.18	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $14.13	Professional		$10.00	$10.96	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $35.48	Professional		$28.18	$28.18	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.95 / $151.36	Professional		$12.59	$19.95	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.78 / $33.88	Facility		$14.79	$17.78	$33.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.79 / $60.26	Professional		$8.91	$14.79	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $33.88	Facility		$14.79	$14.79	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $37.15	Professional		$8.91	$8.91	$37.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79