Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $25.26 / $30.28	Facility		$25.26	$25.26	$30.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $22.93 / $34.72	Professional		$13.98	$22.93	$34.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $49.37	Facility		$27.09	$27.09	$49.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $48.00 / $67.44	Professional		$27.09	$48.00	$67.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $4.17 / $4.26	Professional		$3.92	$4.17	$4.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.60 / $65.44 / $194.27	Facility		$11.60	$65.44	$194.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $21.85 / $56.87	Professional		$16.41	$21.85	$56.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $4.91 / $11.60	Facility		$4.91	$4.91	$11.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $5.87 / $11.60	Professional		$4.88	$5.87	$11.60
United Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $21.85 / $56.87	Professional		$18.95	$21.85	$56.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $40.39 / $40.39	Professional		$31.91	$40.39	$40.39