Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $20.26	Facility		$19.14	$19.14	$20.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $14.79 / $24.75	Professional		$11.09	$14.79	$24.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $30.18	Facility		$18.45	$18.45	$30.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $31.88 / $39.84	Professional		$18.45	$31.88	$39.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $30.48 / $33.03	Professional		$26.07	$30.48	$33.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $35.26 / $128.41	Facility		$17.23	$35.26	$128.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $14.21 / $37.42	Professional		$12.29	$14.21	$37.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $30.18 / $37.42	Facility		$30.09	$30.18	$37.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $35.26 / $57.68	Professional		$24.73	$35.26	$57.68
United Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $13.69 / $35.83	Professional		$12.18	$13.69	$35.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $26.07	Facility		$26.07	$26.07	$26.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $26.07 / $26.07	Professional		$20.60	$26.07	$26.07