Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $20.73 / $24.96	Facility		$20.73	$20.73	$24.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $18.55 / $28.63	Professional		$11.14	$18.55	$28.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $40.02	Facility		$22.28	$22.28	$40.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $39.75 / $50.78	Professional		$22.28	$39.75	$50.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.43 / $3.46	Professional		$3.26	$3.43	$3.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $53.94 / $159.78	Facility		$9.52	$53.94	$159.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $19.03 / $46.88	Professional		$15.17	$19.03	$46.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $4.03 / $9.52	Facility		$4.03	$4.03	$9.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.83 / $9.52	Professional		$4.01	$4.83	$9.52
United Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $17.96 / $46.88	Professional		$16.13	$17.96	$46.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $32.74 / $32.74	Professional		$25.86	$32.74	$32.74