Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $22.91	Facility		$19.05	$19.05	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $25.70	Professional		$10.00	$16.98	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $38.90	Facility		$20.89	$20.89	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $46.77	Professional		$20.89	$37.15	$46.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.16 / $3.31	Professional		$2.63	$3.16	$3.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $50.12 / $147.91	Facility		$4.47	$50.12	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $39.81	Professional		$11.75	$16.60	$39.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $91.20	Professional		$38.02	$44.67	$91.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $11.22 / $25.70	Facility		$1.38	$11.22	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $43.65	Professional		$14.13	$16.60	$43.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $31.62	Professional		$24.55	$31.62	$31.62