Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $33.11	Facility		$20.89	$20.89	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $33.88	Professional		$16.98	$20.89	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $57.54	Professional		$30.20	$42.66	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $51.29 / $54.95	Professional		$50.12	$51.29	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $57.54 / $186.21	Facility		$21.38	$57.54	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $89.13	Professional		$20.89	$31.62	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $81.28	Professional		$43.65	$57.54	$81.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $70.79	Professional		$67.61	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.91 / $30.90	Facility		$17.78	$22.91	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $42.66	Professional		$20.89	$22.91	$42.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $45.71	Professional		$35.48	$45.71	$45.71