Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $20.89	Facility		$18.20	$18.20	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $23.99	Professional		$12.02	$15.85	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $42.66	Professional		$19.95	$33.88	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.95 / $3.02	Professional		$2.40	$2.95	$3.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $46.77 / $134.90	Facility		$3.98	$46.77	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.85 / $36.31	Professional		$12.30	$15.85	$36.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $81.28	Professional		$34.67	$39.81	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $11.22 / $22.39	Facility		$1.38	$11.22	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.14 / $40.74	Professional		$13.80	$15.14	$40.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $28.18	Professional		$22.39	$28.18	$28.18