Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $55.51 / $55.51	Facility		$16.22	$55.51	$55.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $25.26	Professional		$16.22	$16.22	$25.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.11 / $49.11 / $49.11	Facility		$49.11	$49.11	$49.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $17.76 / $18.84	Professional		$15.08	$17.76	$18.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $161.00 / $198.20	Professional		$16.22	$161.00	$198.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $39.43 / $141.51	Facility		$15.18	$39.43	$141.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $14.46 / $42.01	Professional		$5.78	$14.46	$42.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $19.20 / $54.42	Facility		$17.35	$19.20	$54.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $41.29 / $111.37	Professional		$17.76	$41.29	$111.37
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $26.65	Professional		$6.49	$16.22	$26.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Facility		$14.46	$14.46	$14.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $14.46 / $15.82	Professional		$12.50	$14.46	$15.82