Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $30.30 / $35.19	Facility		$30.30	$30.30	$35.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $30.30 / $40.67	Professional		$14.20	$30.30	$40.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $53.22	Facility		$29.06	$29.06	$53.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $53.22 / $68.91	Professional		$29.06	$53.22	$68.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $53.33 / $73.92	Professional		$45.75	$53.33	$73.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $56.24 / $218.60	Facility		$33.04	$56.24	$218.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $24.40 / $62.17	Professional		$20.51	$24.40	$62.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $53.22 / $62.89	Facility		$48.62	$53.22	$62.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $58.44 / $93.19	Professional		$41.64	$58.44	$93.19
United Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $24.13 / $40.22	Professional		$20.51	$24.13	$40.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $43.54 / $43.54	Facility		$43.54	$43.54	$43.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $43.54 / $43.54	Professional		$34.40	$43.54	$43.54