Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $21.55 / $21.55	Facility		$20.67	$21.55	$21.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.46 / $22.53	Professional		$10.72	$15.46	$22.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $32.11	Facility		$16.30	$16.30	$32.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $30.00 / $37.50	Professional		$16.30	$30.00	$37.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.73 / $32.85 / $40.26	Professional		$25.73	$32.85	$40.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $37.52 / $134.22	Facility		$18.62	$37.52	$134.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $17.93 / $38.27	Professional		$13.96	$17.93	$38.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $32.11 / $39.07	Facility		$32.02	$32.11	$39.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $37.52 / $61.38	Professional		$26.29	$37.52	$61.38
United Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $15.27 / $34.34	Professional		$13.91	$15.27	$34.34
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Facility		$28.61	$28.61	$28.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $28.61 / $28.61	Professional		$22.60	$28.61	$28.61