Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Facility		$38.02	$38.02	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $51.29	Professional		$25.70	$34.67	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $79.43	Facility		$38.90	$38.90	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $104.71	Professional		$38.90	$67.61	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.89 / $6.46	Professional		$5.13	$5.89	$6.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $97.72 / $281.84	Facility		$8.91	$97.72	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $79.43	Professional		$27.54	$37.15	$79.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $181.97	Professional		$77.62	$91.20	$181.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $25.70 / $51.29	Facility		$3.16	$25.70	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $85.11	Professional		$30.90	$33.88	$85.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $63.10	Professional		$50.12	$63.10	$63.10