Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.19 / $32.19 / $35.86	Facility		$32.19	$32.19	$35.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $30.06 / $40.82	Professional		$17.76	$30.06	$40.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $61.24	Facility		$25.20	$25.20	$61.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $62.63 / $79.98	Professional		$25.20	$62.63	$79.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $5.17 / $5.17	Professional		$4.38	$5.17	$5.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.64 / $76.63 / $258.33	Facility		$6.64	$76.63	$258.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $28.58 / $73.84	Professional		$24.18	$28.58	$73.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.83 / $5.69 / $13.44	Facility		$4.83	$5.69	$13.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $6.04 / $13.44	Professional		$4.82	$6.04	$13.44
United Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $28.69 / $73.84	Professional		$24.59	$28.69	$73.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $50.10 / $50.10	Professional		$39.58	$50.10	$50.10