Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $36.31	Facility		$30.90	$30.90	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $42.66	Professional		$16.98	$26.92	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $56.23	Facility		$31.62	$31.62	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $60.26 / $75.86	Professional		$31.62	$60.26	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.13 / $5.13	Professional		$4.17	$5.13	$5.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $77.62 / $229.09	Facility		$6.92	$77.62	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $61.66	Professional		$19.05	$26.30	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $128.82	Professional		$54.95	$64.57	$128.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $63.10	Facility		$56.23	$56.23	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $18.20 / $37.15	Facility		$2.40	$18.20	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $24.55 / $67.61	Professional		$22.91	$24.55	$67.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $44.67	Professional		$35.48	$44.67	$44.67