Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $30.20	Facility		$25.12	$25.12	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $33.88	Professional		$12.88	$22.39	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $50.12	Facility		$26.92	$26.92	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $61.66	Professional		$26.92	$48.98	$61.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.17 / $4.27	Professional		$3.39	$4.17	$4.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $66.07 / $194.98	Facility		$5.75	$66.07	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.38 / $51.29	Professional		$14.79	$21.38	$51.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $117.49	Professional		$48.98	$57.54	$117.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $14.13 / $31.62	Facility		$1.78	$14.13	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $56.23	Professional		$17.78	$21.38	$56.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $40.74	Professional		$31.62	$40.74	$40.74