Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $51.29 / $74.13	Facility		$19.95	$51.29	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $32.36	Professional		$16.98	$20.89	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $75.86 / $77.62	Facility		$72.44	$75.86	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $66.07	Professional		$38.90	$52.48	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $138.04	Professional		$22.91	$35.48	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $32.36 / $72.44	Facility		$26.92	$32.36	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $61.66	Professional		$16.22	$16.22	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $60.26	Facility		$26.92	$26.92	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $58.88	Professional		$16.22	$16.22	$58.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $26.92	Professional		$21.38	$26.92	$26.92