Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $30.90	Facility		$23.99	$23.99	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $34.67	Professional		$16.98	$22.91	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $52.48	Facility		$28.18	$28.18	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $57.54	Professional		$28.18	$44.67	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.89 / $4.07	Professional		$3.24	$3.89	$4.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $58.88 / $204.17	Facility		$5.50	$58.88	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $52.48	Professional		$18.62	$23.44	$52.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $120.23	Professional		$51.29	$58.88	$120.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $57.54	Facility		$52.48	$52.48	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $16.98 / $33.11	Facility		$2.04	$16.98	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.88 / $54.95	Professional		$20.42	$21.88	$54.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $41.69	Professional		$33.11	$41.69	$41.69