Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.97 / $19.97 / $24.05	Facility		$19.97	$19.97	$24.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $17.55 / $27.58	Professional		$11.21	$17.55	$27.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $21.85 / $38.02	Facility		$21.85	$21.85	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $28.68 / $47.34	Professional		$21.85	$28.68	$47.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.25 / $3.25	Professional		$2.96	$3.25	$3.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $48.88 / $155.56	Facility		$4.43	$48.88	$155.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $18.64 / $45.16	Professional		$13.88	$18.64	$45.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $3.81 / $9.00	Facility		$3.81	$3.81	$9.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $4.55 / $9.00	Professional		$3.78	$4.55	$9.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $16.87 / $45.16	Professional		$15.52	$16.87	$45.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $31.10 / $31.10	Professional		$24.57	$31.10	$31.10