Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $34.90 / $42.03	Facility		$34.90	$34.90	$42.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $32.02 / $48.20	Professional		$18.59	$32.02	$48.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $65.23	Facility		$37.90	$37.90	$65.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $65.23 / $83.91	Professional		$37.90	$65.23	$83.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $5.80 / $5.80	Professional		$5.51	$5.80	$5.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $90.03 / $272.00	Facility		$15.44	$90.03	$272.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $32.47 / $78.92	Professional		$25.31	$32.47	$78.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $6.53 / $15.44	Facility		$6.53	$6.53	$15.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $7.80 / $15.44	Professional		$6.48	$7.80	$15.44
United Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $31.22 / $78.92	Professional		$27.61	$31.22	$78.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $53.38 / $53.38	Professional		$42.17	$53.38	$53.38