Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Facility		$33.88	$33.88	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.90 / $46.77	Professional		$19.50	$30.90	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $85.11	Professional		$38.02	$67.61	$85.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.75 / $5.75	Professional		$5.50	$5.75	$5.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $89.13 / $269.15	Facility		$7.59	$89.13	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $70.79	Professional		$23.44	$30.20	$70.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $154.88	Professional		$64.57	$75.86	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $22.39 / $43.65	Facility		$2.57	$22.39	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $77.62	Professional		$28.18	$30.90	$77.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $52.48	Professional		$41.69	$52.48	$52.48