Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $25.12	Facility		$22.91	$22.91	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $41.69	Professional		$15.85	$20.89	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $42.66	Facility		$22.91	$22.91	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $51.29	Professional		$22.91	$41.69	$51.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $47.86	Professional		$33.88	$43.65	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $47.86 / $190.55	Facility		$26.30	$47.86	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $63.10	Professional		$17.78	$23.44	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $53.70	Professional		$41.69	$43.65	$53.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $63.10	Professional		$40.74	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.30 / $58.88	Facility		$13.80	$26.30	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.05 / $34.67	Professional		$17.38	$19.05	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $37.15	Professional		$29.51	$37.15	$37.15