Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $20.42 / $20.42	Facility		$12.00	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.31 / $23.11	Professional		$12.00	$15.31	$23.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $29.24	Facility		$22.22	$22.22	$29.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $35.25 / $44.06	Professional		$22.22	$35.25	$44.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $36.68 / $39.13	Professional		$29.13	$36.68	$39.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.02 / $43.67 / $159.28	Facility		$14.02	$43.67	$159.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $15.43 / $39.01	Professional		$13.41	$15.43	$39.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $33.72 / $69.11	Facility		$29.24	$33.72	$69.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $41.52 / $69.11	Professional		$23.01	$41.52	$69.11
United Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $14.64 / $37.45	Professional		$13.41	$14.64	$37.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $27.67 / $27.67	Facility		$27.67	$27.67	$27.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $27.67 / $27.67	Professional		$21.86	$27.67	$27.67