Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $22.72 / $40.24	Facility		$22.72	$22.72	$40.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $22.72	Professional		$18.16	$18.16	$22.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $17.26	Facility		$17.26	$17.26	$17.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $22.08	Professional		$17.66	$17.66	$22.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $18.16 / $45.67	Professional		$13.86	$18.16	$45.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $20.60 / $26.70	Facility		$17.26	$20.60	$26.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $18.29 / $25.75	Professional		$18.29	$18.29	$25.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $25.76 / $35.11	Facility		$19.20	$25.76	$35.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $21.95 / $39.45	Professional		$19.57	$21.95	$39.45
United Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.70	Professional		$18.16	$18.16	$18.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $18.29 / $18.29	Facility		$18.29	$18.29	$18.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $18.29 / $18.29	Professional		$18.29	$18.29	$18.29