Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $42.39 / $69.12	Facility		$42.39	$42.39	$69.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $42.39 / $11,588.54	Professional		$31.27	$42.39	$11,588.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $31.88 / $31.88	Facility		$31.88	$31.88	$31.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $31.34 / $38.90	Professional		$31.13	$31.34	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $31.27 / $69.17	Professional		$26.37	$31.27	$69.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $36.65 / $47.03	Facility		$31.33	$36.65	$47.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $31.33 / $41.32	Professional		$31.33	$31.33	$41.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $46.04 / $72.12	Facility		$35.61	$46.04	$72.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $37.59 / $74.69	Professional		$34.97	$37.59	$74.69
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $32.21	Professional		$31.27	$31.27	$32.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $31.33 / $31.33	Facility		$31.33	$31.33	$31.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $31.33 / $31.33	Professional		$31.33	$31.33	$31.33