Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $23.50 / $26.81	Facility		$23.50	$23.50	$26.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $22.77 / $30.98	Professional		$10.82	$22.77	$30.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $22.13 / $40.54	Facility		$18.29	$22.13	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $40.54 / $53.44	Professional		$22.13	$40.54	$53.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $47.34 / $85.42	Professional		$36.85	$47.34	$85.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $42.82 / $165.95	Facility		$25.19	$42.82	$165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $19.00 / $47.91	Professional		$15.62	$19.00	$47.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $40.54 / $48.59	Facility		$40.43	$40.54	$48.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $46.55 / $77.47	Professional		$31.74	$46.55	$77.47
United Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $18.38 / $31.56	Professional		$15.62	$18.38	$31.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $33.17 / $33.17	Facility		$33.17	$33.17	$33.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $33.17 / $33.17	Professional		$26.20	$33.17	$33.17