Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $21.94 / $25.03	Facility		$21.94	$21.94	$25.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $21.83 / $28.92	Professional		$10.10	$21.83	$28.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $37.84	Facility		$20.66	$20.66	$37.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $37.84 / $49.69	Professional		$21.28	$37.84	$49.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $33.79 / $35.58	Professional		$29.79	$33.79	$35.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $39.97 / $161.55	Facility		$23.50	$39.97	$161.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $17.35 / $47.00	Professional		$13.37	$17.35	$47.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.84 / $45.35	Facility		$37.72	$37.84	$45.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $43.23 / $72.29	Professional		$29.61	$43.23	$72.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $17.16 / $40.44	Professional		$13.25	$17.16	$40.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $30.96 / $30.96	Facility		$30.96	$30.96	$30.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $30.96 / $30.96	Professional		$24.46	$30.96	$30.96