Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $52.73 / $73.75	Facility		$27.11	$52.73	$73.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $20.87 / $20.87	Professional		$17.89	$20.87	$20.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $75.40 / $77.59	Facility		$73.20	$75.40	$77.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $49.61 / $62.02	Professional		$31.39	$49.61	$62.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $39.31 / $49.07	Professional		$23.04	$39.31	$49.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $34.97 / $106.60	Facility		$27.11	$34.97	$106.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $68.56	Professional		$16.27	$16.27	$68.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $49.57 / $75.40	Facility		$32.56	$49.57	$75.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $53.34 / $70.76	Professional		$32.53	$53.34	$70.76
United Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $27.11 / $27.11	Facility		$27.11	$27.11	$27.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $59.10	Professional		$16.27	$16.27	$59.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $27.11 / $27.11	Professional		$21.42	$27.11	$27.11