Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $33.68 / $40.56	Facility		$33.68	$33.68	$40.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $29.84 / $46.51	Professional		$20.12	$29.84	$46.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $67.34	Facility		$34.40	$34.40	$67.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $61.88 / $79.19	Professional		$34.40	$61.88	$79.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.35 / $5.59	Professional		$4.47	$5.35	$5.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $87.64 / $247.01	Facility		$7.84	$87.64	$247.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $31.65 / $76.16	Professional		$25.58	$31.65	$76.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.74 / $6.74 / $15.94	Facility		$6.74	$6.74	$15.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $8.06 / $15.94	Professional		$6.69	$8.06	$15.94
United Facility/Professional Facility Modifier Low / Median / High Price $2.78 / $22.82 / $39.60	Facility		$2.78	$22.82	$39.60
United Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $29.90 / $76.16	Professional		$27.39	$29.90	$76.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $55.11 / $55.11	Professional		$43.54	$55.11	$55.11