Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $120.23	Facility		$44.67	$58.88	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $70.79 / $151.36	Professional		$30.20	$70.79	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $79.43	Facility		$44.67	$44.67	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $102.33	Professional		$48.98	$83.18	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $147.91	Professional		$67.61	$83.18	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $77.62 / $309.03	Facility		$47.86	$77.62	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $123.03	Professional		$32.36	$43.65	$123.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $95.50	Professional		$77.62	$81.28	$95.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $117.49	Professional		$72.44	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.02 / $52.48	Facility		$21.88	$38.02	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $64.57	Professional		$31.62	$35.48	$64.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $63.10	Professional		$50.12	$63.10	$63.10