Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $39.81	Facility		$33.11	$33.11	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.20 / $44.67	Professional		$17.78	$30.20	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $63.10 / $79.43	Professional		$37.15	$63.10	$79.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.50 / $5.62	Professional		$4.47	$5.50	$5.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $87.10 / $263.03	Facility		$7.08	$87.10	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $64.57	Professional		$21.38	$28.18	$64.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $144.54	Professional		$60.26	$70.79	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $20.42 / $40.74	Facility		$2.34	$20.42	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $29.51 / $75.86	Professional		$25.70	$29.51	$75.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $48.98	Professional		$38.90	$48.98	$48.98