Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $38.40 / $44.96	Facility		$38.40	$38.40	$44.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $36.02 / $53.79	Professional		$24.53	$36.02	$53.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.67 / $42.67 / $81.59	Facility		$42.67	$42.67	$81.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $70.13 / $87.66	Professional		$42.67	$70.13	$87.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $6.19 / $6.19	Professional		$4.95	$6.19	$6.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $100.00 / $305.83	Facility		$20.02	$100.00	$305.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $38.58 / $88.11	Professional		$30.27	$38.58	$88.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.47 / $8.47 / $20.02	Facility		$8.47	$8.47	$20.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.13 / $20.02	Professional		$8.42	$10.13	$20.02
United Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $36.22 / $88.11	Professional		$32.17	$36.22	$88.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $66.76 / $66.76	Professional		$52.74	$66.76	$66.76