Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $19.62 / $23.52	Facility		$19.62	$19.62	$23.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $18.00 / $26.98	Professional		$10.53	$18.00	$26.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $36.47	Facility		$21.27	$21.27	$36.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $37.50 / $49.13	Professional		$21.27	$37.50	$49.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.25 / $3.25	Professional		$3.09	$3.25	$3.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $50.84 / $152.57	Facility		$8.61	$50.84	$152.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $19.10 / $44.17	Professional		$14.34	$19.10	$44.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $8.61	Facility		$3.64	$3.64	$8.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $4.34 / $8.61	Professional		$3.62	$4.34	$8.61
United Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $16.18 / $43.46	Professional		$16.13	$16.18	$43.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $29.84 / $29.84	Professional		$23.57	$29.84	$29.84