Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $41.69	Facility		$34.67	$34.67	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $48.98	Professional		$20.42	$32.36	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $41.69	Facility		$38.90	$38.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $85.11	Professional		$38.90	$67.61	$85.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.89 / $5.89	Professional		$5.62	$5.89	$5.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $91.20 / $275.42	Facility		$7.76	$91.20	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $72.44	Professional		$23.99	$31.62	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $158.49	Professional		$67.61	$77.62	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $22.91 / $44.67	Facility		$2.69	$22.91	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $81.28	Professional		$28.84	$31.62	$81.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $54.95	Professional		$43.65	$54.95	$54.95