Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.34 / $26.52 / $26.52	Facility		$23.34	$26.52	$26.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $16.98 / $26.75	Professional		$13.26	$16.98	$26.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $25.14 / $34.65	Facility		$25.14	$25.14	$34.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $36.75 / $45.94	Professional		$25.14	$36.75	$45.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $37.01 / $147.50	Professional		$30.08	$37.01	$147.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $41.56 / $135.94	Facility		$20.09	$41.56	$135.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $19.71 / $43.05	Professional		$15.07	$19.71	$43.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $34.56 / $34.65 / $42.96	Facility		$34.56	$34.65	$42.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $40.49 / $66.23	Professional		$28.40	$40.49	$66.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $16.23 / $37.17	Professional		$14.54	$16.23	$37.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $31.51 / $31.51	Facility		$31.51	$31.51	$31.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $31.51 / $31.51	Professional		$24.89	$31.51	$31.51