Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $74.13	Facility		$56.23	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $97.72	Professional		$31.62	$56.23	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $100.00	Facility		$58.88	$58.88	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $128.82	Professional		$61.66	$102.33	$128.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $123.03	Professional		$85.11	$89.13	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $416.87	Facility		$60.26	$97.72	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $154.88	Professional		$42.66	$64.57	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $120.23	Professional		$97.72	$102.33	$120.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $147.91	Professional		$91.20	$147.91	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $58.88 / $67.61	Facility		$30.20	$58.88	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $81.28	Professional		$40.74	$44.67	$81.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $87.10	Professional		$69.18	$87.10	$87.10