Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $26.26 / $31.15	Facility		$26.26	$26.26	$31.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $23.54 / $35.72	Professional		$14.89	$23.54	$35.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $27.79 / $50.58	Facility		$27.79	$27.79	$50.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $49.50 / $61.88	Professional		$27.79	$49.50	$61.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.26 / $4.41	Professional		$4.05	$4.26	$4.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $67.31 / $199.27	Facility		$11.93	$67.31	$199.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $22.53 / $58.50	Professional		$17.47	$22.53	$58.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $11.93	Facility		$5.05	$5.05	$11.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $6.06 / $11.93	Professional		$5.04	$6.06	$11.93
United Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $22.50 / $58.50	Professional		$20.19	$22.50	$58.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $41.38 / $41.38	Professional		$32.69	$41.38	$41.38