Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $31.63 / $40.56	Facility		$31.63	$31.63	$40.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.12 / $47.31	Professional		$19.00	$30.12	$47.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $36.44 / $64.08	Facility		$36.44	$36.44	$64.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $61.13 / $76.41	Professional		$36.44	$61.13	$76.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $5.40 / $5.60	Professional		$5.27	$5.40	$5.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $80.77 / $259.69	Facility		$7.47	$80.77	$259.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $31.85 / $76.76	Professional		$25.88	$31.85	$76.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.41 / $6.49 / $15.16	Facility		$6.41	$6.49	$15.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.76 / $15.16	Professional		$6.45	$7.76	$15.16
United Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $29.02 / $76.76	Professional		$26.32	$29.02	$76.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.42 / $52.43 / $52.43	Professional		$41.42	$52.43	$52.43