Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $24.81 / $25.98	Facility		$24.81	$24.81	$25.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $22.61 / $42.51	Professional		$14.75	$22.61	$42.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $41.90	Facility		$23.10	$23.10	$41.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $41.25 / $51.56	Professional		$23.10	$41.25	$51.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $43.20 / $47.53	Professional		$33.92	$43.20	$47.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $47.55 / $190.57	Facility		$23.93	$47.55	$190.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $20.22 / $51.96	Professional		$17.64	$20.22	$51.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.79 / $41.90 / $54.24	Facility		$41.79	$41.90	$54.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $48.95 / $80.09	Professional		$34.32	$48.95	$80.09
United Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $19.01 / $46.41	Professional		$17.64	$19.01	$46.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $37.33 / $37.33	Facility		$37.33	$37.33	$37.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $37.33 / $37.33	Professional		$29.49	$37.33	$37.33