Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $21.96 / $26.32	Facility		$21.96	$21.96	$26.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $20.32 / $30.18	Professional		$13.02	$20.32	$30.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $23.28 / $44.24	Facility		$23.28	$23.28	$44.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $40.50 / $58.68	Professional		$23.28	$40.50	$58.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.50 / $3.62	Professional		$3.33	$3.50	$3.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $56.87 / $167.12	Facility		$10.50	$56.87	$167.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $19.63 / $49.43	Professional		$15.27	$19.63	$49.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $4.44 / $10.50	Facility		$4.44	$4.44	$10.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $5.32 / $10.50	Professional		$4.41	$5.32	$10.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $19.63 / $49.43	Professional		$17.27	$19.63	$49.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $36.20 / $36.20	Professional		$28.60	$36.20	$36.20