Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $24.05 / $32.28	Facility		$24.05	$24.05	$32.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $23.98 / $33.58	Professional		$13.02	$23.98	$33.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $26.66 / $46.64	Facility		$22.51	$26.66	$46.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $43.88 / $54.84	Professional		$26.58	$43.88	$54.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.95 / $42.40 / $52.80	Professional		$31.95	$42.40	$52.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $51.54 / $196.23	Facility		$28.98	$51.54	$196.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $21.95 / $54.88	Professional		$18.82	$21.95	$54.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $46.64 / $55.41	Facility		$41.48	$46.64	$55.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $50.53 / $79.27	Professional		$37.58	$50.53	$79.27
United Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $21.16 / $36.17	Professional		$18.82	$21.16	$36.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $38.15	Facility		$38.15	$38.15	$38.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $38.15 / $38.15	Professional		$30.15	$38.15	$38.15