Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.11	Facility		$25.70	$25.70	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.99 / $38.02	Professional		$14.13	$23.99	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $51.29	Facility		$28.18	$28.18	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $66.07	Professional		$28.18	$52.48	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.68 / $4.68	Professional		$3.98	$4.68	$4.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $72.44 / $204.17	Facility		$5.89	$72.44	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $57.54	Professional		$15.14	$22.91	$57.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $120.23	Professional		$51.29	$58.88	$120.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $14.45 / $29.51	Facility		$1.70	$14.45	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $63.10	Professional		$18.20	$22.91	$63.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $41.69	Professional		$33.11	$41.69	$41.69