Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $37.15 / $37.15	Facility		$28.18	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $38.90	Professional		$19.05	$28.18	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $50.12	Facility		$28.84	$28.84	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $66.07	Professional		$30.20	$52.48	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $54.95	Professional		$42.66	$51.29	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $50.12 / $213.80	Facility		$26.92	$50.12	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $29.51 / $77.62	Professional		$20.89	$29.51	$77.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $51.29 / $61.66	Professional		$50.12	$51.29	$61.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $74.13 / $74.13	Professional		$44.67	$74.13	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $29.51 / $33.88	Facility		$14.79	$29.51	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $41.69	Professional		$19.95	$21.88	$41.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $44.67	Professional		$34.67	$44.67	$44.67