Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.75 / $22.14 / $32.34	Facility		$21.75	$22.14	$32.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $17.95 / $30.57	Professional		$12.96	$17.95	$30.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $43.86	Facility		$22.18	$22.18	$43.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $37.13 / $46.41	Professional		$22.18	$37.13	$46.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $38.33 / $40.72	Professional		$31.87	$38.33	$40.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $45.99 / $160.57	Facility		$19.71	$45.99	$160.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $19.89 / $52.29	Professional		$14.92	$19.89	$52.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.72 / $43.86 / $52.56	Facility		$43.72	$43.86	$52.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $47.23 / $83.79	Professional		$34.32	$47.23	$83.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $19.89 / $41.43	Professional		$14.78	$19.89	$41.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $39.07 / $39.07 / $39.07	Facility		$39.07	$39.07	$39.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.87 / $39.07 / $39.07	Professional		$30.87	$39.07	$39.07