Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $23.00 / $28.95	Facility		$23.00	$23.00	$28.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $21.87 / $33.19	Professional		$14.09	$21.87	$33.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $48.25	Facility		$27.30	$27.30	$48.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $44.63 / $55.78	Professional		$27.59	$44.63	$55.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.84 / $6.70	Professional		$3.65	$3.84	$6.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $53.01 / $182.85	Facility		$5.62	$53.01	$182.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $21.41 / $54.36	Professional		$14.61	$21.41	$54.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $5.03 / $11.44	Facility		$4.84	$5.03	$11.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $6.20 / $11.44	Professional		$4.98	$6.20	$11.44
United Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $21.41 / $54.36	Professional		$18.50	$21.41	$54.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $39.47	Facility		$39.47	$39.47	$39.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $39.47 / $39.47	Professional		$31.18	$39.47	$39.47