Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $34.81 / $41.72	Facility		$34.81	$34.81	$41.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $31.94 / $47.86	Professional		$18.85	$31.94	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $37.64 / $64.88	Facility		$37.64	$37.64	$64.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $66.75 / $85.01	Professional		$37.64	$66.75	$85.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.74 / $5.74	Professional		$5.45	$5.74	$5.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $89.23 / $270.08	Facility		$15.37	$89.23	$270.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $32.39 / $78.34	Professional		$25.67	$32.39	$78.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $6.50 / $15.37	Facility		$6.50	$6.50	$15.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.76 / $15.37	Professional		$6.45	$7.76	$15.37
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $30.99 / $78.34	Professional		$28.61	$30.99	$78.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.93 / $53.08 / $53.08	Professional		$41.93	$53.08	$53.08