Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.55 / $27.74 / $38.70	Facility		$26.55	$27.74	$38.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $27.74 / $36.72	Professional		$16.84	$27.74	$36.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $17.18 / $17.18	Facility		$17.18	$17.18	$17.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $21.23	Professional		$16.98	$16.98	$21.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $30.48 / $46.86	Professional		$16.84	$30.48	$46.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $19.93 / $27.74	Facility		$17.59	$19.93	$27.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $19.70 / $24.92	Professional		$17.59	$19.70	$24.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $24.92 / $39.03	Facility		$18.94	$24.92	$39.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $19.96 / $35.72	Professional		$15.80	$19.96	$35.72
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.68 / $18.86	Professional		$16.84	$17.68	$18.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $17.59 / $17.59	Facility		$17.59	$17.59	$17.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $17.59 / $17.59	Professional		$17.59	$17.59	$17.59