Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $20.11 / $22.78	Facility		$20.11	$20.11	$22.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $19.97 / $26.51	Professional		$9.26	$19.97	$26.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $18.95 / $34.42	Facility		$18.95	$18.95	$34.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $34.42 / $45.47	Professional		$19.52	$34.42	$45.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $39.24 / $61.24	Professional		$29.95	$39.24	$61.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $36.36 / $146.94	Facility		$21.41	$36.36	$146.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $16.14 / $40.99	Professional		$13.37	$16.14	$40.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.33 / $34.42 / $41.26	Facility		$34.33	$34.42	$41.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $39.90 / $65.81	Professional		$27.17	$39.90	$65.81
United Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $15.62 / $36.86	Professional		$13.37	$15.62	$36.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $28.16 / $28.16	Facility		$28.16	$28.16	$28.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $28.16 / $28.16	Professional		$22.25	$28.16	$28.16