Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $88.93 / $88.93	Facility		$36.90	$88.93	$88.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $88.93	Professional		$29.84	$29.84	$88.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $35.75 / $35.75	Facility		$35.75	$35.75	$35.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $30.51 / $32.39	Professional		$25.91	$30.51	$32.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $54.25 / $197.02	Professional		$29.84	$54.25	$197.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $41.32 / $88.93	Facility		$1.00	$41.32	$88.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $42.58	Professional		$24.45	$24.45	$42.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $53.69 / $102.44	Facility		$29.34	$53.69	$102.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $34.97 / $72.51	Professional		$29.34	$34.97	$72.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $29.84 / $30.74	Professional		$29.84	$29.84	$30.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $24.45 / $24.45 / $24.45	Facility		$24.45	$24.45	$24.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $24.45	Professional		$24.45	$24.45	$24.45