Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $19.95	Facility		$12.88	$12.88	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $19.95	Professional		$10.00	$12.02	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $41.69	Professional		$24.55	$28.18	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $93.33	Professional		$85.11	$87.10	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $35.48 / $114.82	Facility		$13.18	$35.48	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $60.26	Professional		$12.88	$19.50	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $234.42	Professional		$26.92	$39.81	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $43.65	Professional		$41.69	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $14.13 / $18.62	Facility		$10.96	$14.13	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $26.30	Professional		$12.88	$14.13	$26.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $186.21	Professional		$144.54	$186.21	$186.21