Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.88 / $21.88	Facility		$16.98	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $22.91	Professional		$10.96	$16.98	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $30.90	Facility		$16.60	$16.60	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $31.62 / $39.81	Professional		$16.98	$31.62	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $50.12	Professional		$25.70	$44.67	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.20 / $120.23	Facility		$18.62	$30.20	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.60 / $45.71	Professional		$12.59	$16.60	$45.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $35.48	Professional		$30.20	$31.62	$35.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $45.71	Professional		$23.44	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.59 / $19.50	Facility		$8.13	$12.59	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $23.44	Professional		$11.48	$13.80	$23.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $24.55	Professional		$19.50	$24.55	$24.55