Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $24.97 / $40.26	Facility		$24.97	$24.97	$40.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $24.97 / $4,765.45	Professional		$18.01	$24.97	$4,765.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $18.34 / $18.34	Facility		$18.34	$18.34	$18.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.89 / $22.64	Professional		$18.11	$18.89	$22.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $18.01 / $48.80	Professional		$15.23	$18.01	$48.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $23.60 / $38.25	Facility		$1.00	$23.60	$38.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $23.60	Professional		$18.30	$18.30	$23.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $29.24 / $39.04	Facility		$21.32	$29.24	$39.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $21.48 / $38.25	Professional		$20.70	$21.48	$38.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $19.80	Professional		$18.01	$18.01	$19.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Facility		$18.30	$18.30	$18.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30