Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $23.43 / $27.02	Facility		$23.43	$23.43	$27.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $21.50 / $30.89	Professional		$13.44	$21.50	$30.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.94 / $24.94 / $41.03	Facility		$24.94	$24.94	$41.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.94 / $41.03 / $54.84	Professional		$24.94	$41.03	$54.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.79 / $3.79	Professional		$3.54	$3.79	$3.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $58.20 / $177.61	Facility		$9.69	$58.20	$177.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $21.17 / $50.74	Professional		$17.82	$21.17	$50.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $9.69	Facility		$4.09	$4.09	$9.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.91 / $9.69	Professional		$4.09	$4.91	$9.69
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $21.62 / $50.74	Professional		$18.32	$21.62	$50.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $33.57 / $33.57	Professional		$26.52	$33.57	$33.57