Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $26.78 / $33.60	Facility		$26.78	$26.78	$33.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $24.71 / $38.25	Professional		$14.15	$24.71	$38.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $50.80	Facility		$28.37	$28.37	$50.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $51.75 / $64.69	Professional		$28.37	$51.75	$64.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $4.63 / $4.63	Professional		$3.94	$4.63	$4.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $72.06 / $204.80	Facility		$12.04	$72.06	$204.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.04 / $63.10	Professional		$16.60	$23.04	$63.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $5.09 / $12.04	Facility		$5.09	$5.09	$12.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $6.10 / $12.04	Professional		$5.08	$6.10	$12.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $23.04 / $63.10	Professional		$19.18	$23.04	$63.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $41.56 / $41.56	Professional		$32.83	$41.56	$41.56