Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $28.18	Facility		$22.91	$22.91	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $33.11	Professional		$15.14	$19.95	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $42.66	Facility		$21.38	$21.38	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $44.67 / $54.95	Professional		$21.38	$44.67	$54.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $50.12	Professional		$32.36	$45.71	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $48.98 / $177.83	Facility		$24.55	$48.98	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $63.10	Professional		$16.98	$23.44	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $52.48	Professional		$41.69	$43.65	$52.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $63.10	Professional		$38.90	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $28.18 / $56.23	Facility		$13.18	$28.18	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $34.67	Professional		$16.98	$19.05	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $36.31	Professional		$28.84	$36.31	$36.31