Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.54 / $43.54 / $49.68	Facility		$43.54	$43.54	$49.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $42.18 / $51.64	Professional		$20.04	$42.18	$51.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.02 / $41.02 / $67.83	Facility		$41.02	$41.02	$67.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $79.13 / $98.91	Professional		$48.13	$79.13	$98.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $61.73 / $67.98	Professional		$57.78	$61.73	$67.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $79.22 / $305.60	Facility		$42.14	$79.22	$305.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $32.68 / $84.23	Professional		$26.54	$32.68	$84.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $69.64 / $85.35	Facility		$67.83	$69.64	$85.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $79.22 / $130.71	Professional		$58.20	$79.22	$130.71
United Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $30.76 / $80.54	Professional		$26.54	$30.76	$80.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $55.49 / $55.49	Facility		$55.49	$55.49	$55.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $55.49 / $55.49	Professional		$43.84	$55.49	$55.49