Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $41.40 / $49.60	Facility		$41.40	$41.40	$49.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.81 / $56.85	Professional		$27.54	$37.81	$56.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $86.27	Facility		$41.54	$41.54	$86.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $72.75 / $93.13	Professional		$41.54	$72.75	$93.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $6.36 / $6.37	Professional		$5.96	$6.36	$6.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $107.76 / $297.88	Facility		$10.02	$107.76	$297.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $43.32 / $93.14	Professional		$32.83	$43.32	$93.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $8.61 / $20.38	Facility		$8.61	$8.61	$20.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $10.31 / $20.38	Professional		$8.56	$10.31	$20.38
United Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $35.14 / $93.14	Professional		$34.01	$35.14	$93.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.77 / $70.59 / $70.59	Professional		$55.77	$70.59	$70.59