Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $39.83	Facility		$33.22	$33.22	$39.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $30.03 / $45.68	Professional		$18.55	$30.03	$45.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $35.56 / $65.40	Facility		$35.56	$35.56	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $51.56 / $78.75	Professional		$35.56	$51.56	$78.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $5.43 / $5.63	Professional		$5.16	$5.43	$5.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $82.00 / $255.06	Facility		$15.50	$82.00	$255.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $28.99 / $74.80	Professional		$21.77	$28.99	$74.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $6.56 / $15.50	Facility		$6.56	$6.56	$15.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $7.83 / $15.50	Professional		$6.50	$7.83	$15.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $29.00 / $74.80	Professional		$23.75	$29.00	$74.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $53.51 / $53.51	Professional		$42.27	$53.51	$53.51