Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.07 / $21.50	Facility		$18.07	$18.07	$21.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $16.02 / $24.66	Professional		$10.03	$16.02	$24.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $20.13 / $34.39	Facility		$20.13	$20.13	$34.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $34.39 / $42.66	Professional		$22.20	$34.39	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.96 / $3.00	Professional		$2.81	$2.96	$3.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.16 / $46.46 / $134.91	Facility		$8.16	$46.46	$134.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $16.14 / $40.36	Professional		$13.57	$16.14	$40.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $3.45 / $8.16	Facility		$3.45	$3.45	$8.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $4.13 / $8.16	Professional		$3.43	$4.13	$8.16
United Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $15.28 / $40.36	Professional		$13.88	$15.28	$40.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $28.13 / $28.13	Professional		$22.22	$28.13	$28.13