Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.27 / $33.27 / $37.95	Facility		$33.27	$33.27	$37.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $33.11 / $43.85	Professional		$15.31	$33.11	$43.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.45 / $34.45 / $57.38	Facility		$34.45	$34.45	$57.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $55.82 / $75.47	Professional		$34.45	$55.82	$75.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $42.24 / $52.16	Professional		$37.24	$42.24	$52.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $60.62 / $245.00	Facility		$35.65	$60.62	$245.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $26.30 / $71.27	Professional		$20.27	$26.30	$71.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $57.38 / $68.77	Facility		$57.22	$57.38	$68.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $65.40 / $109.65	Professional		$44.91	$65.40	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $26.02 / $61.35	Professional		$20.09	$26.02	$61.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.94 / $46.94 / $46.94	Facility		$46.94	$46.94	$46.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $46.94 / $46.94	Professional		$37.08	$46.94	$46.94