Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $13.63 / $16.34	Facility		$13.63	$13.63	$16.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $12.51 / $18.73	Professional		$7.66	$12.51	$18.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $14.57 / $25.72	Facility		$14.57	$14.57	$25.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $25.72 / $32.34	Professional		$14.57	$25.72	$32.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.22 / $2.22	Professional		$2.11	$2.22	$2.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $35.29 / $104.55	Facility		$6.03	$35.29	$104.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $13.15 / $30.68	Professional		$10.43	$13.15	$30.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $6.03	Facility		$2.54	$2.54	$6.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.05 / $6.03	Professional		$2.52	$3.05	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $12.14 / $30.68	Professional		$11.20	$12.14	$30.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $21.04 / $21.04	Professional		$16.62	$21.04	$21.04