Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $21.34 / $39.96	Facility		$21.34	$21.34	$39.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.78 / $6,743.10	Professional		$18.07	$22.78	$6,743.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $18.41 / $18.41	Facility		$18.41	$18.41	$18.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $22.64	Professional		$18.11	$18.11	$22.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $29.74 / $42.93	Professional		$18.07	$29.74	$42.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $19.60 / $27.38	Facility		$18.10	$19.60	$27.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.10 / $23.09	Professional		$18.10	$18.10	$23.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $26.64 / $36.08	Facility		$21.33	$26.64	$36.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $21.33 / $26.64	Professional		$19.60	$21.33	$26.64
United Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.62	Professional		$18.07	$18.07	$18.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $18.10 / $18.10	Facility		$18.10	$18.10	$18.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.10 / $18.10	Professional		$18.10	$18.10	$18.10