Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $27.40 / $31.26	Facility		$27.40	$27.40	$31.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $27.27 / $36.11	Professional		$12.61	$27.27	$36.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $25.81 / $47.26	Facility		$25.81	$25.81	$47.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $47.26 / $62.34	Professional		$26.58	$47.26	$62.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $36.32 / $42.96	Professional		$32.02	$36.32	$42.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $49.93 / $201.75	Facility		$29.37	$49.93	$201.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $21.66 / $58.70	Professional		$16.70	$21.66	$58.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.26 / $56.63	Facility		$47.12	$47.26	$56.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $53.21 / $90.30	Professional		$36.99	$53.21	$90.30
United Facility/Professional Professional Modifier Low / Median / High Price $16.70 / $21.43 / $50.88	Professional		$16.70	$21.43	$50.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $38.65 / $38.65	Facility		$38.65	$38.65	$38.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $38.65 / $38.65	Professional		$30.54	$38.65	$38.65