Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $42.39 / $48.37	Facility		$42.39	$42.39	$48.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $42.20 / $55.88	Professional		$19.51	$42.20	$55.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.94 / $39.94 / $73.13	Facility		$39.94	$39.94	$73.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $73.13 / $96.56	Professional		$41.14	$73.13	$96.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $77.79 / $88.23	Professional		$64.17	$77.79	$88.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $77.25 / $312.25	Facility		$45.42	$77.25	$312.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $33.54 / $90.84	Professional		$25.84	$33.54	$90.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.91 / $73.13 / $87.64	Facility		$72.91	$73.13	$87.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $83.13 / $139.75	Professional		$57.24	$83.13	$139.75
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $33.17 / $78.20	Professional		$25.84	$33.17	$78.20
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $59.83 / $59.83	Facility		$59.83	$59.83	$59.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.27 / $59.83 / $59.83	Professional		$47.27	$59.83	$59.83