Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $42.17	Facility		$40.00	$40.00	$42.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $36.70 / $52.43	Professional		$21.66	$36.70	$52.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $63.75	Facility		$44.42	$44.42	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $77.63 / $101.58	Professional		$44.42	$77.63	$101.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $6.69 / $6.69	Professional		$5.67	$6.69	$6.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $90.43 / $317.39	Facility		$15.52	$90.43	$317.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $32.90 / $79.19	Professional		$27.71	$32.90	$79.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $6.57 / $15.52	Facility		$6.57	$6.57	$15.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $7.87 / $15.52	Professional		$6.55	$7.87	$15.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $31.32 / $79.19	Professional		$28.66	$31.32	$79.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $52.16 / $52.16	Professional		$41.21	$52.16	$52.16