Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $30.06 / $36.19	Facility		$30.06	$30.06	$36.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $27.58 / $41.52	Professional		$15.78	$27.58	$41.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $32.79 / $55.92	Facility		$32.79	$32.79	$55.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $58.13 / $74.23	Professional		$32.79	$58.13	$74.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $5.01 / $5.01	Professional		$4.76	$5.01	$5.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $78.69 / $235.26	Facility		$13.21	$78.69	$235.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $27.58 / $67.95	Professional		$21.49	$27.58	$67.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $5.59 / $13.21	Facility		$5.59	$5.59	$13.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $6.68 / $13.21	Professional		$5.55	$6.68	$13.21
United Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $25.40 / $67.95	Professional		$24.80	$25.40	$67.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $45.76 / $45.76	Professional		$36.15	$45.76	$45.76