Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $28.66	Facility		$25.12	$25.12	$28.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $25.00 / $33.11	Professional		$11.56	$25.00	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $43.32	Facility		$26.07	$26.07	$43.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $45.75 / $57.19	Professional		$27.78	$45.75	$57.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $48.79 / $55.34	Professional		$39.38	$48.79	$55.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $45.76 / $184.95	Facility		$26.91	$45.76	$184.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $19.87 / $53.81	Professional		$15.31	$19.87	$53.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $43.32 / $51.92	Facility		$43.20	$43.32	$51.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $48.77 / $82.79	Professional		$33.90	$48.77	$82.79
United Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $19.64 / $51.46	Professional		$15.17	$19.64	$51.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $35.44 / $35.44 / $35.44	Facility		$35.44	$35.44	$35.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $35.44 / $35.44	Professional		$28.00	$35.44	$35.44