Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.09 / $21.09	Facility		$16.98	$21.09	$21.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $14.02 / $25.29	Professional		$10.98	$14.02	$25.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $28.45	Facility		$16.29	$16.29	$28.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $29.25 / $36.56	Professional		$23.54	$29.25	$36.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $30.07 / $38.38	Professional		$24.57	$30.07	$38.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $33.61 / $125.14	Facility		$16.48	$33.61	$125.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $16.27 / $35.33	Professional		$12.36	$16.27	$35.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $28.45 / $35.47	Facility		$28.36	$28.45	$35.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $33.22 / $54.35	Professional		$23.29	$33.22	$54.35
United Facility/Professional Facility Modifier Low / Median / High Price $37.34 / $37.34 / $60.68	Facility		$37.34	$37.34	$60.68
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $13.85 / $32.72	Professional		$12.32	$13.85	$32.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $25.34 / $25.34	Facility		$25.34	$25.34	$25.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $25.34 / $25.34	Professional		$20.02	$25.34	$25.34