Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.64 / $31.64 / $38.40	Facility		$31.64	$31.64	$38.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $29.11 / $43.70	Professional		$16.17	$29.11	$43.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $24.44 / $58.05	Facility		$24.44	$24.44	$58.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.44 / $58.05 / $76.41	Professional		$24.44	$58.05	$76.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $5.25 / $5.25	Professional		$4.99	$5.25	$5.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $82.34 / $247.53	Facility		$13.65	$82.34	$247.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $28.52 / $72.09	Professional		$22.00	$28.52	$72.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $5.78 / $13.65	Facility		$5.78	$5.78	$13.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $6.93 / $13.65	Professional		$5.76	$6.93	$13.65
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $29.30 / $72.09	Professional		$24.00	$29.30	$72.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $47.49 / $47.49	Professional		$37.52	$47.49	$47.49