Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $26.62 / $28.18	Facility		$26.62	$26.62	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $20.54 / $34.40	Professional		$15.37	$20.54	$34.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $25.64 / $41.92	Facility		$25.64	$25.64	$41.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $44.25 / $55.31	Professional		$25.64	$44.25	$55.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $44.54 / $48.26	Professional		$36.20	$44.54	$48.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $48.98 / $178.31	Facility		$17.13	$48.98	$178.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $19.72 / $51.96	Professional		$17.05	$19.72	$51.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $41.81 / $41.92 / $51.96	Facility		$41.81	$41.92	$51.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $48.98 / $80.15	Professional		$34.34	$48.98	$80.15
United Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $19.02 / $49.80	Professional		$16.91	$19.02	$49.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $36.20 / $36.20 / $36.20	Facility		$36.20	$36.20	$36.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $36.20 / $36.20	Professional		$28.60	$36.20	$36.20