Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $25.12	Facility		$19.95	$19.95	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $28.84	Professional		$12.02	$19.05	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $43.65	Facility		$22.91	$22.91	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $52.48	Professional		$22.91	$41.69	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.39 / $3.47	Professional		$2.75	$3.39	$3.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $45.71 / $162.18	Facility		$4.17	$45.71	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $44.67	Professional		$12.88	$18.20	$44.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $100.00	Professional		$42.66	$50.12	$100.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $12.59 / $25.12	Facility		$1.41	$12.59	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $47.86	Professional		$15.49	$18.20	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $34.67	Professional		$27.54	$34.67	$34.67