Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $33.43 / $33.43	Facility		$17.39	$33.43	$33.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $20.02 / $33.43	Professional		$15.23	$20.02	$33.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $27.38 / $34.77	Professional		$22.22	$27.38	$34.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $47.41 / $64.31	Professional		$39.60	$47.41	$64.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.82 / $74.00 / $215.96	Facility		$27.82	$74.00	$215.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $25.42 / $63.48	Professional		$20.00	$25.42	$63.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $59.19 / $93.68	Facility		$44.59	$59.19	$93.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $56.31 / $93.68	Professional		$37.29	$56.31	$93.68
United Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $23.18 / $51.48	Professional		$20.58	$23.18	$51.48
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.46 / $46.46 / $46.46	Facility		$46.46	$46.46	$46.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $46.46 / $46.46	Professional		$36.70	$46.46	$46.46