Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $40.74 / $40.74	Facility		$11.75	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $3,981.07	Professional		$10.96	$19.95	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.88 / $14.79	Professional		$11.75	$12.88	$14.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $36.31 / $77.62	Professional		$10.96	$36.31	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.88 / $40.74	Facility		$10.96	$12.88	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $26.92	Professional		$10.96	$10.96	$26.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $16.60	Professional		$13.80	$13.80	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $12.02	Professional		$11.75	$11.75	$12.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96