Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $38.13 / $45.14	Facility		$38.13	$38.13	$45.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $35.15 / $51.75	Professional		$24.90	$35.15	$51.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $39.01 / $77.53	Facility		$39.01	$39.01	$77.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $67.50 / $115.38	Professional		$39.01	$67.50	$115.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $6.01 / $6.39	Professional		$5.11	$6.01	$6.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $96.35 / $280.00	Facility		$18.30	$96.35	$280.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $39.15 / $84.77	Professional		$29.47	$39.15	$84.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $7.74 / $18.30	Facility		$7.74	$7.74	$18.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $9.25 / $18.30	Professional		$7.69	$9.25	$18.30
United Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $34.50 / $84.77	Professional		$30.95	$34.50	$84.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $63.43 / $63.43	Professional		$50.11	$63.43	$63.43