Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $25.31 / $27.84	Facility		$25.31	$25.31	$27.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $25.13 / $33.36	Professional		$11.65	$25.13	$33.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $43.65	Facility		$19.37	$19.37	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $42.09 / $57.66	Professional		$19.37	$42.09	$57.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $46.55 / $52.80	Professional		$38.40	$46.55	$52.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.12 / $45.69 / $178.68	Facility		$27.12	$45.69	$178.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $20.45 / $51.58	Professional		$16.82	$20.45	$51.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.14 / $43.65 / $51.85	Facility		$43.14	$43.65	$51.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $49.87 / $82.67	Professional		$34.15	$49.87	$82.67
United Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $19.79 / $49.19	Professional		$16.82	$19.79	$49.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.71 / $35.71 / $35.71	Facility		$35.71	$35.71	$35.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $35.71 / $35.71	Professional		$28.21	$35.71	$35.71