Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $25.70	Facility		$20.89	$20.89	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $30.20	Professional		$12.88	$19.95	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $45.71	Facility		$23.44	$23.44	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $41.69 / $52.48	Professional		$23.44	$41.69	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.47 / $3.63	Professional		$2.88	$3.47	$3.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $56.23 / $165.96	Facility		$5.13	$56.23	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $45.71	Professional		$13.80	$19.50	$45.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $104.71	Professional		$44.67	$51.29	$104.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $13.18 / $26.92	Facility		$1.62	$13.18	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $48.98	Professional		$16.60	$18.62	$48.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $36.31	Professional		$28.84	$36.31	$36.31