Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.47 / $34.47 / $39.34	Facility		$34.47	$34.47	$39.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $34.33 / $45.46	Professional		$16.80	$34.33	$45.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $59.49	Facility		$36.21	$36.21	$59.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $62.63 / $79.20	Professional		$36.21	$62.63	$79.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $54.08 / $73.80	Professional		$51.95	$54.08	$73.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $69.48 / $253.09	Facility		$36.97	$69.48	$253.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $35.97 / $73.88	Professional		$25.85	$35.97	$73.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.32 / $59.49 / $73.93	Facility		$59.32	$59.49	$73.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $69.48 / $113.67	Professional		$48.73	$69.48	$113.67
United Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $27.88 / $73.88	Professional		$25.85	$27.88	$73.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $53.00 / $53.00	Professional		$41.87	$53.00	$53.00