Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.19 / $20.19 / $24.79	Facility		$20.19	$20.19	$24.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $19.07 / $28.40	Professional		$14.77	$19.07	$28.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $19.82 / $41.67	Facility		$19.82	$19.82	$41.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $33.38 / $44.25	Professional		$19.82	$33.38	$44.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.01 / $3.01	Professional		$2.41	$3.01	$3.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $54.79 / $142.13	Facility		$9.85	$54.79	$142.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $23.40 / $50.84	Professional		$16.04	$23.40	$50.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.59 / $9.85	Facility		$4.17	$4.59	$9.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.49 / $9.85	Professional		$4.57	$5.49	$9.85
United Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $21.45 / $43.92	Professional		$16.04	$21.45	$43.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $34.09 / $34.09	Professional		$26.93	$34.09	$34.09