Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $13.92 / $16.70	Facility		$13.92	$13.92	$16.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $12.78 / $19.14	Professional		$7.20	$12.78	$19.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $25.43	Facility		$15.26	$15.26	$25.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $27.00 / $34.58	Professional		$15.26	$27.00	$34.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.34 / $2.34	Professional		$1.87	$2.34	$2.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $36.08 / $109.28	Facility		$6.03	$36.08	$109.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.81 / $12.40 / $31.35	Professional		$9.81	$12.40	$31.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $2.54 / $6.03	Facility		$2.54	$2.54	$6.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.05 / $6.03	Professional		$2.52	$3.05	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $12.40 / $31.35	Professional		$10.70	$12.40	$31.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $20.81 / $20.81	Professional		$16.44	$20.81	$20.81