Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $37.18 / $44.57	Facility		$37.18	$37.18	$44.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $34.11 / $51.13	Professional		$19.87	$34.11	$51.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $69.00	Facility		$40.36	$40.36	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $69.00 / $89.53	Professional		$40.36	$69.00	$89.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $6.17 / $6.17	Professional		$5.86	$6.17	$6.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $95.78 / $289.64	Facility		$16.35	$95.78	$289.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $34.15 / $83.70	Professional		$27.05	$34.15	$83.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $16.35	Facility		$6.92	$6.92	$16.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $8.27 / $16.35	Professional		$6.87	$8.27	$16.35
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $83.70	Professional		$29.51	$33.11	$83.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $56.46 / $56.46	Professional		$44.60	$56.46	$56.46