Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $18.26 / $21.00	Facility		$18.26	$18.26	$21.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $18.22 / $24.69	Professional		$8.82	$18.22	$24.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $31.30 / $31.30	Facility		$31.30	$31.30	$31.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $33.38 / $41.72	Professional		$20.20	$33.38	$41.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $33.25 / $68.64	Professional		$27.21	$33.25	$68.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $33.54 / $122.76	Facility		$19.44	$33.54	$122.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $15.09 / $38.86	Professional		$12.74	$15.09	$38.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $31.30 / $38.79	Facility		$31.21	$31.30	$38.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $36.56 / $59.79	Professional		$25.63	$36.56	$59.79
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $14.19 / $37.22	Professional		$12.47	$14.19	$37.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $25.61 / $25.61 / $25.61	Facility		$25.61	$25.61	$25.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $25.61 / $25.61	Professional		$20.23	$25.61	$25.61