Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $24.48 / $25.91	Facility		$24.48	$24.48	$25.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $18.89 / $31.68	Professional		$14.16	$18.89	$31.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.27 / $24.27 / $38.56	Facility		$24.27	$24.27	$38.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $40.88 / $51.09	Professional		$24.27	$40.88	$51.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $40.64 / $44.04	Professional		$33.29	$40.64	$44.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $45.04 / $164.13	Facility		$22.02	$45.04	$164.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $18.14 / $47.83	Professional		$15.71	$18.14	$47.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $38.56 / $47.83	Facility		$38.45	$38.56	$47.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $45.04 / $73.66	Professional		$31.57	$45.04	$73.66
United Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $17.48 / $41.20	Professional		$15.57	$17.48	$41.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $33.29 / $33.29	Facility		$33.29	$33.29	$33.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $33.29 / $33.29	Professional		$26.31	$33.29	$33.29