Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $47.86 / $69.18	Facility		$19.05	$47.86	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $25.12	Professional		$15.85	$19.95	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $60.26	Professional		$47.86	$47.86	$60.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.62 / $128.82	Professional		$27.54	$31.62	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.20 / $57.54	Facility		$25.12	$30.20	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $81.28	Professional		$15.14	$17.78	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $57.54	Facility		$25.12	$25.12	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $60.26	Professional		$15.14	$15.14	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $25.12	Professional		$19.95	$25.12	$25.12