Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $46.38	Facility		$40.65	$40.65	$46.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $40.47 / $50.71	Professional		$18.71	$40.47	$50.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $38.29 / $66.61	Facility		$34.71	$38.29	$66.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $66.61 / $92.34	Professional		$38.29	$66.61	$92.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.52 / $63.75 / $69.61	Professional		$57.52	$63.75	$69.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.39 / $74.09 / $283.61	Facility		$41.39	$74.09	$283.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $31.54 / $79.81	Professional		$27.03	$31.54	$79.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.61 / $67.23 / $80.58	Facility		$66.61	$67.23	$80.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $77.80 / $128.38	Professional		$54.88	$77.80	$128.38
United Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $30.21 / $53.00	Professional		$27.03	$30.21	$53.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $54.50 / $54.50 / $54.50	Facility		$54.50	$54.50	$54.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.06 / $54.50 / $54.50	Professional		$43.06	$54.50	$54.50