Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.18 / $28.18	Facility		$20.89	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $30.20	Professional		$15.14	$20.89	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $38.90	Facility		$20.89	$20.89	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $50.12	Professional		$23.44	$39.81	$50.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $31.62 / $35.48	Professional		$29.51	$31.62	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.02 / $162.18	Facility		$23.44	$38.02	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.89 / $57.54	Professional		$14.45	$20.89	$57.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.90 / $44.67	Professional		$38.02	$38.90	$44.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $57.54 / $57.54	Professional		$29.51	$57.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.45 / $24.55	Facility		$10.00	$14.45	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $31.62	Professional		$13.49	$16.98	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $30.90	Professional		$24.55	$30.90	$30.90