Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.20 / $44.67	Facility		$12.02	$30.20	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $19.05	Professional		$10.00	$12.02	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $44.67 / $45.71	Facility		$43.65	$44.67	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $38.02	Professional		$22.91	$30.20	$38.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $81.28	Professional		$13.49	$20.89	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.05 / $42.66	Facility		$15.85	$19.05	$42.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $37.15	Professional		$9.55	$9.55	$37.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $35.48	Facility		$15.85	$15.85	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $34.67	Professional		$9.55	$9.55	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $15.85	Professional		$12.59	$15.85	$15.85