Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $33.83	Facility		$31.92	$31.92	$33.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $24.66 / $41.28	Professional		$18.47	$24.66	$41.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $50.29	Facility		$27.10	$27.10	$50.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $53.25 / $66.56	Professional		$27.10	$53.25	$66.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $46.73 / $50.64	Professional		$43.43	$46.73	$50.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $58.75 / $214.06	Facility		$26.64	$58.75	$214.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $23.68 / $62.40	Professional		$20.49	$23.68	$62.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.14 / $50.29 / $62.40	Facility		$50.14	$50.29	$62.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $58.75 / $96.11	Professional		$41.21	$58.75	$96.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $22.81 / $53.88	Professional		$20.30	$22.81	$53.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $43.43 / $43.43	Facility		$43.43	$43.43	$43.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $43.43 / $43.43	Professional		$34.31	$43.43	$43.43