Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $35.14 / $41.60	Facility		$35.14	$35.14	$41.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $30.94 / $49.58	Professional		$23.60	$30.94	$49.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $36.06 / $61.78	Facility		$36.06	$36.06	$61.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $61.78 / $84.38	Professional		$36.06	$61.78	$84.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $5.80 / $5.84	Professional		$4.67	$5.80	$5.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $93.19 / $258.29	Facility		$7.86	$93.19	$258.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $30.08 / $76.72	Professional		$23.14	$30.08	$76.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $7.33 / $15.99	Facility		$6.77	$7.33	$15.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $8.82 / $77.05	Professional		$7.33	$8.82	$77.05
United Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $23.14 / $41.64	Facility		$2.89	$23.14	$41.64
United Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $29.64 / $76.72	Professional		$25.75	$29.64	$76.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $50.54 / $50.54	Professional		$39.93	$50.54	$50.54