Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $17.21 / $20.75	Facility		$17.21	$17.21	$20.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $14.43 / $23.77	Professional		$11.16	$14.43	$23.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $37.61	Facility		$15.88	$15.88	$37.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $28.50 / $36.38	Professional		$15.88	$28.50	$36.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.43 / $2.47	Professional		$2.31	$2.43	$2.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.13 / $45.05 / $113.86	Facility		$9.13	$45.05	$113.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $17.32 / $38.96	Professional		$12.91	$17.32	$38.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $3.86 / $9.13	Facility		$3.86	$3.86	$9.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $4.62 / $9.13	Professional		$3.83	$4.62	$9.13
United Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $16.73 / $38.96	Professional		$13.97	$16.73	$38.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $30.77 / $30.77	Professional		$24.31	$30.77	$30.77