Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $38.90	Facility		$32.36	$32.36	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $43.65	Professional		$19.05	$28.84	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $63.10	Facility		$35.48	$35.48	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $63.10 / $79.43	Professional		$35.48	$63.10	$79.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.37 / $5.37	Professional		$5.01	$5.37	$5.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $83.18 / $251.19	Facility		$7.08	$83.18	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $66.07	Professional		$20.42	$28.84	$66.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $144.54	Professional		$61.66	$70.79	$144.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $21.38 / $40.74	Facility		$2.51	$21.38	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $74.13	Professional		$26.92	$28.84	$74.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12