Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.96 / $40.96 / $49.08	Facility		$40.96	$40.96	$49.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $37.40 / $56.27	Professional		$25.19	$37.40	$56.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $83.01	Facility		$42.49	$42.49	$83.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $74.63 / $100.78	Professional		$42.49	$74.63	$100.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $6.53 / $6.66	Professional		$6.11	$6.53	$6.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $100.00 / $304.95	Facility		$19.60	$100.00	$304.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $37.54 / $92.17	Professional		$29.55	$37.54	$92.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $8.28 / $19.60	Facility		$8.28	$8.28	$19.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $9.91 / $19.60	Professional		$8.22	$9.91	$19.60
United Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $37.54 / $92.17	Professional		$31.72	$37.54	$92.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.65 / $67.91 / $67.91	Professional		$53.65	$67.91	$67.91