Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $31.28 / $31.28	Facility		$26.22	$31.28	$31.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $22.99 / $34.01	Professional		$16.09	$22.99	$34.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $29.97 / $39.65	Facility		$29.97	$29.97	$39.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $52.13 / $65.16	Professional		$39.65	$52.13	$65.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $45.02 / $49.54	Professional		$34.31	$45.02	$49.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $46.32 / $196.70	Facility		$22.64	$46.32	$196.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $20.32 / $49.25	Professional		$17.23	$20.32	$49.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $39.65 / $54.77	Facility		$39.53	$39.65	$54.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $46.87 / $75.79	Professional		$32.47	$46.87	$75.79
United Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.98 / $47.28	Professional		$17.23	$17.98	$47.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $34.25 / $34.25 / $34.25	Facility		$34.25	$34.25	$34.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $34.25 / $34.25	Professional		$27.06	$34.25	$34.25