Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $23.88 / $23.88	Facility		$21.45	$23.88	$23.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.96 / $27.81	Professional		$11.87	$15.96	$27.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $32.26	Facility		$18.44	$18.44	$32.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $33.00 / $41.25	Professional		$18.44	$33.00	$41.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $30.47 / $36.58	Professional		$27.86	$30.47	$36.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $38.13 / $140.91	Facility		$18.70	$38.13	$140.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $18.51 / $40.06	Professional		$14.02	$18.51	$40.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $32.26 / $40.36	Facility		$32.15	$32.26	$40.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $37.68 / $61.62	Professional		$26.41	$37.68	$61.62
United Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $14.63 / $27.91	Professional		$14.02	$14.63	$27.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.74 / $28.74 / $28.74	Facility		$28.74	$28.74	$28.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $28.74 / $28.74	Professional		$22.70	$28.74	$28.74