Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $16.30	Facility		$16.07	$16.07	$16.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $15.79 / $21.19	Professional		$7.40	$15.79	$21.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $15.15 / $27.72	Facility		$12.09	$15.15	$27.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $27.72 / $36.56	Professional		$15.15	$27.72	$36.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $27.93 / $35.40	Professional		$23.99	$27.93	$35.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $29.00 / $113.07	Facility		$17.23	$29.00	$113.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $13.00 / $32.76	Professional		$10.69	$13.00	$32.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.64 / $27.72 / $33.22	Facility		$27.64	$27.72	$33.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $31.03 / $52.97	Professional		$21.69	$31.03	$52.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $12.58 / $21.59	Professional		$9.88	$12.58	$21.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $22.68 / $22.68	Facility		$22.68	$22.68	$22.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $22.68 / $22.68	Professional		$17.92	$22.68	$22.68