Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $25.43 / $30.65	Facility		$25.43	$25.43	$30.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $23.23 / $35.11	Professional		$17.37	$23.23	$35.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $55.12	Facility		$24.27	$24.27	$55.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $42.38 / $54.25	Professional		$24.27	$42.38	$54.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.62 / $3.73	Professional		$3.44	$3.62	$3.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $69.86 / $174.00	Facility		$13.05	$69.86	$174.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.17 / $60.81	Professional		$19.05	$25.17	$60.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.52 / $5.52 / $13.05	Facility		$5.52	$5.52	$13.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $6.60 / $13.05	Professional		$5.49	$6.60	$13.05
United Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $16.39 / $29.85	Facility		$2.18	$16.39	$29.85
United Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $25.75 / $71.67	Professional		$20.05	$25.75	$71.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $45.10 / $45.10	Professional		$35.63	$45.10	$45.10