Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $31.82 / $38.34	Facility		$31.82	$31.82	$38.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $29.26 / $43.94	Professional		$22.56	$29.26	$43.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $68.42	Facility		$31.00	$31.00	$68.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $54.00 / $69.00	Professional		$31.00	$54.00	$69.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $4.66 / $4.80	Professional		$4.43	$4.66	$4.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $83.28 / $222.30	Facility		$16.20	$83.28	$222.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $35.21 / $76.59	Professional		$25.13	$35.21	$76.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $6.85 / $16.20	Facility		$6.85	$6.85	$16.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $8.19 / $16.20	Professional		$6.81	$8.19	$16.20
United Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $30.42 / $72.01	Professional		$26.29	$30.42	$72.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $55.98 / $55.98	Professional		$44.22	$55.98	$55.98