Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $19.95	Facility		$16.98	$16.98	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.14 / $22.91	Professional		$9.33	$15.14	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $24.55	Facility		$18.62	$18.62	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.88 / $42.66	Professional		$18.62	$33.88	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.88 / $2.88	Professional		$2.69	$2.88	$2.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $44.67 / $134.90	Facility		$3.63	$44.67	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $34.67	Professional		$10.96	$14.45	$34.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $74.13	Professional		$31.62	$36.31	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $10.47 / $20.89	Facility		$1.23	$10.47	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $38.90	Professional		$13.18	$15.14	$38.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $25.70	Professional		$20.42	$25.70	$25.70