Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $21.88 / $21.88	Facility		$19.95	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $21.88	Professional		$10.00	$14.13	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $33.11	Facility		$16.22	$16.22	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $30.20 / $37.15	Professional		$16.22	$30.20	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $39.81	Professional		$25.12	$33.88	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $36.31 / $134.90	Facility		$19.95	$36.31	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $48.98	Professional		$13.80	$19.50	$48.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $38.90	Professional		$32.36	$33.11	$38.90
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 $29.51 / $48.98 / $48.98	Professional		$29.51	$48.98	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.95 / $41.69	Facility		$11.22	$19.95	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.79 / $25.70	Professional		$13.18	$14.79	$25.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $28.84	Professional		$22.39	$28.84	$28.84