Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $38.36 / $91.27	Facility		$29.26	$38.36	$91.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $23.81 / $36.34	Professional		$18.77	$23.81	$36.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $36.40 / $65.00	Facility		$36.40	$36.40	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $33.46 / $92.15	Professional		$26.77	$33.46	$92.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $39.40 / $58.00	Professional		$24.54	$39.40	$58.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $40.02 / $143.82	Facility		$20.20	$40.02	$143.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $32.03 / $94.94	Professional		$25.02	$32.03	$94.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $40.33 / $63.58	Facility		$36.40	$40.33	$63.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $48.10 / $67.73	Professional		$35.00	$48.10	$67.73
United Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $31.99 / $50.10	Professional		$23.38	$31.99	$50.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $46.50	Professional		$39.60	$39.60	$46.50