Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $26.22 / $32.84	Facility		$26.22	$26.22	$32.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $21.17 / $33.49	Professional		$17.48	$21.17	$33.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $30.29 / $30.29	Facility		$30.29	$30.29	$30.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $66.75 / $83.44	Professional		$30.29	$66.75	$83.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $59.23 / $65.22	Professional		$57.59	$59.23	$65.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.17 / $71.00 / $184.09	Facility		$21.17	$71.00	$184.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $27.23 / $65.65	Professional		$20.39	$27.23	$65.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.36 / $50.46 / $79.84	Facility		$42.36	$50.46	$79.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $61.40 / $86.80	Professional		$42.16	$61.40	$86.80
United Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $22.52 / $53.70	Professional		$20.39	$22.52	$53.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $45.22 / $45.22	Facility		$45.22	$45.22	$45.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $45.22 / $45.22	Professional		$35.72	$45.22	$45.22