Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $28.51 / $69.76	Facility		$22.33	$28.51	$69.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $22.92 / $27.88	Professional		$15.01	$22.92	$27.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Facility		$50.00	$50.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $50.95 / $63.68	Professional		$29.81	$50.95	$63.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $31.50 / $75.70	Professional		$20.32	$31.50	$75.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.31 / $40.83 / $122.24	Facility		$15.31	$40.83	$122.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $48.70 / $116.43	Professional		$29.05	$48.70	$116.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.83 / $49.55 / $62.45	Facility		$40.83	$49.55	$62.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $49.55 / $62.85	Professional		$34.67	$49.55	$62.85
United Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $41.35 / $63.08	Professional		$25.52	$41.35	$63.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $30.40 / $35.79	Professional		$30.40	$30.40	$35.79