Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $20.26 / $46.40	Facility		$20.26	$20.26	$46.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.99 / $2,256.00	Professional		$20.26	$20.99	$2,256.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $22.63 / $25.97	Professional		$20.78	$22.63	$25.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $20.99 / $62.74	Professional		$12.36	$20.99	$62.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $20.26 / $31.42	Facility		$18.84	$20.26	$31.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $18.84 / $29.80	Professional		$18.84	$18.84	$29.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $32.52 / $50.95	Facility		$22.60	$32.52	$50.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $24.72 / $49.69	Professional		$22.60	$24.72	$49.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $20.99 / $21.41	Professional		$20.99	$20.99	$21.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $18.84 / $18.84	Facility		$18.84	$18.84	$18.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $18.84 / $18.84	Professional		$18.84	$18.84	$18.84