Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $42.66 / $79.43	Facility		$15.14	$42.66	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $38.02	Professional		$14.13	$19.95	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $64.57	Facility		$50.12	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $66.07	Professional		$26.30	$52.48	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $87.10	Professional		$20.89	$31.62	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $33.88 / $123.03	Facility		$15.85	$33.88	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $128.82	Professional		$26.92	$46.77	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $63.10	Professional		$40.74	$60.26	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $63.10	Professional		$39.81	$39.81	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $26.30 / $37.15	Facility		$23.99	$26.30	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $37.15 / $60.26	Professional		$21.38	$37.15	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $35.48	Professional		$30.20	$30.20	$35.48