Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $32.65 / $39.14	Facility		$32.65	$32.65	$39.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $29.96 / $44.89	Professional		$18.26	$29.96	$44.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $61.53	Facility		$35.11	$35.11	$61.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $61.53 / $77.34	Professional		$35.11	$61.53	$77.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.33 / $5.33	Professional		$5.05	$5.33	$5.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $82.74 / $251.92	Facility		$14.56	$82.74	$251.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $31.37 / $73.50	Professional		$24.86	$31.37	$73.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $6.16 / $14.56	Facility		$6.16	$6.16	$14.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $7.36 / $14.56	Professional		$6.11	$7.36	$14.56
United Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $27.31 / $73.37	Professional		$26.84	$27.31	$73.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $50.35 / $50.35	Professional		$39.78	$50.35	$50.35