Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $39.00 / $48.37	Facility		$39.00	$39.00	$48.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $36.19 / $55.17	Professional		$24.34	$36.19	$55.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $77.20	Facility		$43.15	$43.15	$77.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $74.63 / $95.30	Professional		$43.15	$74.63	$95.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $6.51 / $6.52	Professional		$5.22	$6.51	$6.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $100.00 / $309.02	Facility		$9.06	$100.00	$309.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $35.90 / $90.84	Professional		$27.17	$35.90	$90.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $7.80 / $18.43	Facility		$7.65	$7.80	$18.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $9.15 / $18.43	Professional		$7.60	$9.15	$18.43
United Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $35.32 / $90.84	Professional		$31.37	$35.32	$90.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $63.17 / $63.17	Professional		$49.90	$63.17	$63.17