Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $28.85 / $31.09	Facility		$28.85	$28.85	$31.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $28.76 / $37.99	Professional		$13.50	$28.76	$37.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $28.50 / $49.79	Facility		$28.50	$28.50	$49.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $49.79 / $65.63	Professional		$28.50	$49.79	$65.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $49.93 / $53.94	Professional		$43.56	$49.93	$53.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $58.13 / $211.82	Facility		$27.00	$58.13	$211.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $28.28 / $58.84	Professional		$20.79	$28.28	$58.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $49.79 / $61.78	Facility		$48.87	$49.79	$61.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $58.13 / $90.60	Professional		$39.00	$58.13	$90.60
United Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $22.03 / $58.38	Professional		$20.79	$22.03	$58.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $44.35 / $44.35	Facility		$44.35	$44.35	$44.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $44.35 / $44.35	Professional		$35.04	$44.35	$44.35