Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $19.70 / $20.48	Facility		$19.70	$19.70	$20.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $15.18 / $25.48	Professional		$11.39	$15.18	$25.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $29.93	Facility		$15.80	$15.80	$29.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $33.00 / $41.25	Professional		$15.80	$33.00	$41.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $30.48 / $33.03	Professional		$25.85	$30.48	$33.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $33.49 / $131.74	Facility		$17.09	$33.49	$131.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $14.44 / $37.17	Professional		$12.55	$14.44	$37.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $29.93 / $38.40	Facility		$29.85	$29.93	$38.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $35.36 / $57.19	Professional		$24.52	$35.36	$57.19
United Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $13.57 / $35.68	Professional		$12.61	$13.57	$35.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $25.85 / $25.85	Facility		$25.85	$25.85	$25.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.85 / $25.85	Professional		$20.42	$25.85	$25.85