Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $41.22	Facility		$36.33	$36.33	$41.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $36.07 / $47.88	Professional		$16.72	$36.07	$47.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.67 / $62.67 / $62.67	Facility		$62.67	$62.67	$62.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $66.00 / $82.50	Professional		$40.15	$66.00	$82.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $70.37 / $79.81	Professional		$54.12	$70.37	$79.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $65.59 / $257.45	Facility		$38.90	$65.59	$257.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $28.73 / $74.06	Professional		$24.16	$28.73	$74.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.26 / $62.67 / $74.06	Facility		$53.26	$62.67	$74.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.23 / $65.11 / $101.81	Professional		$48.23	$65.11	$101.81
United Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $28.42 / $56.97	Professional		$26.17	$28.42	$56.97
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $51.27 / $51.27 / $51.27	Facility		$51.27	$51.27	$51.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $51.27 / $51.27	Professional		$40.50	$51.27	$51.27