Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $31.13 / $43.54	Facility		$16.00	$31.13	$43.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $12.32 / $12.32	Professional		$10.56	$12.32	$12.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $44.50 / $45.79	Facility		$43.20	$44.50	$45.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $28.72 / $35.90	Professional		$18.17	$28.72	$35.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $23.20 / $28.96	Professional		$13.60	$23.20	$28.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $20.65 / $62.92	Facility		$16.00	$20.65	$62.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $40.46	Professional		$9.60	$9.60	$40.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $29.26 / $44.50	Facility		$19.21	$29.26	$44.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $31.49 / $41.76	Professional		$19.20	$31.49	$41.76
United Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Facility		$16.00	$16.00	$16.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $34.88	Professional		$9.60	$9.60	$34.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $16.00 / $16.00	Professional		$12.64	$16.00	$16.00