Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.85 / $19.95	Facility		$12.02	$15.85	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $43.65	Professional		$12.02	$15.14	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $33.11	Facility		$22.39	$22.39	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $43.65	Professional		$22.39	$35.48	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $38.90	Professional		$28.84	$36.31	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $47.86 / $158.49	Facility		$16.60	$47.86	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.38 / $61.66	Professional		$13.49	$17.38	$61.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $43.65 / $69.18	Professional		$19.95	$43.65	$69.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $23.99 / $58.88	Facility		$11.48	$23.99	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.13 / $26.30	Professional		$13.18	$14.13	$26.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $27.54	Professional		$21.88	$27.54	$27.54