Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $28.76 / $30.45	Facility		$28.76	$28.76	$30.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $22.19 / $37.14	Professional		$16.61	$22.19	$37.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $45.28	Facility		$23.09	$23.09	$45.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $48.00 / $60.00	Professional		$23.09	$48.00	$60.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $48.14 / $53.94	Professional		$39.10	$48.14	$53.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.86 / $52.89 / $192.63	Facility		$25.86	$52.89	$192.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $21.31 / $56.14	Professional		$18.43	$21.31	$56.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $45.28 / $56.14	Facility		$45.15	$45.28	$56.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $52.89 / $86.50	Professional		$37.08	$52.89	$86.50
United Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $20.53 / $48.38	Professional		$18.27	$20.53	$48.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $39.10 / $39.10	Facility		$39.10	$39.10	$39.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $39.10 / $39.10	Professional		$30.89	$39.10	$39.10