Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $28.73 / $34.60	Facility		$28.73	$28.73	$34.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $26.07 / $39.67	Professional		$16.23	$26.07	$39.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $30.64 / $57.24	Facility		$30.64	$30.64	$57.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $57.24 / $69.05	Professional		$54.00	$57.24	$69.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $4.67 / $4.88	Professional		$4.44	$4.67	$4.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $74.75 / $219.96	Facility		$13.52	$74.75	$219.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.37 / $64.97	Professional		$19.05	$25.37	$64.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.72 / $5.72 / $13.52	Facility		$5.72	$5.72	$13.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $6.84 / $13.52	Professional		$5.68	$6.84	$13.52
United Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $25.94 / $64.97	Professional		$22.01	$25.94	$64.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $46.84 / $46.84	Professional		$37.00	$46.84	$46.84