Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.93 / $34.93 / $41.88	Facility		$34.93	$34.93	$41.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $31.03 / $48.03	Professional		$19.03	$31.03	$48.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $67.19	Facility		$36.65	$36.65	$67.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $66.75 / $83.44	Professional		$36.65	$66.75	$83.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $5.75 / $5.81	Professional		$5.43	$5.75	$5.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $84.27 / $262.88	Facility		$15.89	$84.27	$262.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $29.73 / $78.64	Professional		$22.32	$29.73	$78.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $6.72 / $15.89	Facility		$6.72	$6.72	$15.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $8.02 / $15.89	Professional		$6.67	$8.02	$15.89
United Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $29.73 / $78.64	Professional		$25.79	$29.73	$78.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $54.97 / $54.97	Professional		$43.43	$54.97	$54.97