Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.17 / $20.17 / $25.26	Facility		$20.17	$20.17	$25.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $16.28 / $25.53	Professional		$13.45	$16.28	$25.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $27.60 / $27.60	Facility		$27.60	$27.60	$27.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $30.38 / $38.82	Professional		$27.60	$30.38	$38.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $35.81 / $38.29	Professional		$34.81	$35.81	$38.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $55.00 / $141.59	Facility		$15.00	$55.00	$141.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $20.05 / $51.13	Professional		$15.54	$20.05	$51.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $38.82 / $61.44	Facility		$32.59	$38.82	$61.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $47.23 / $66.78	Professional		$32.43	$47.23	$66.78
United Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $17.32 / $41.31	Professional		$15.54	$17.32	$41.31
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $11.22 / $11.22	Professional		$8.86	$11.22	$11.22