Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $30.20	Facility		$25.12	$25.12	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $34.67	Professional		$16.98	$21.88	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $56.23	Facility		$24.55	$24.55	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $54.95	Professional		$24.55	$41.69	$54.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.63 / $3.72	Professional		$2.95	$3.63	$3.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $69.18 / $173.78	Facility		$6.46	$69.18	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $57.54	Professional		$19.05	$24.55	$57.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $128.82	Professional		$54.95	$64.57	$128.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $16.60 / $33.11	Facility		$2.19	$16.60	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.88 / $57.54	Professional		$20.42	$21.88	$57.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $44.67	Professional		$35.48	$44.67	$44.67