Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $31.84 / $35.19	Facility		$31.84	$31.84	$35.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $26.87 / $43.92	Professional		$20.03	$26.87	$43.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $49.21	Facility		$29.64	$29.64	$49.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.86 / $53.25 / $66.56	Professional		$42.86	$53.25	$66.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $44.04 / $45.82	Professional		$40.64	$44.04	$45.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $57.50 / $237.18	Facility		$28.11	$57.50	$237.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $25.22 / $61.13	Professional		$21.39	$25.22	$61.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.08 / $49.21 / $67.98	Facility		$49.08	$49.21	$67.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $58.16 / $94.04	Professional		$41.23	$58.16	$94.04
United Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $22.32 / $52.69	Professional		$21.85	$22.32	$52.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $43.85 / $43.85 / $43.85	Facility		$43.85	$43.85	$43.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $43.85 / $43.85	Professional		$34.64	$43.85	$43.85