Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $31.73 / $38.60	Facility		$31.73	$31.73	$38.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $29.11 / $45.01	Professional		$18.92	$29.11	$45.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $26.10 / $65.87	Facility		$26.10	$26.10	$65.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $60.75 / $75.94	Professional		$26.10	$60.75	$75.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.09 / $5.24	Professional		$4.84	$5.09	$5.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.63 / $80.03 / $252.49	Facility		$15.63	$80.03	$252.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $29.23 / $73.70	Professional		$22.20	$29.23	$73.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $15.63	Facility		$6.61	$6.61	$15.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $7.90 / $15.63	Professional		$6.56	$7.90	$15.63
United Facility/Professional Facility Modifier Low / Median / High Price $2.74 / $20.55 / $38.83	Facility		$2.74	$20.55	$38.83
United Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $29.44 / $73.70	Professional		$25.23	$29.44	$73.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $53.89 / $53.89	Professional		$42.57	$53.89	$53.89