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 $18.45 / $34.33 / $45.46	Professional		$18.45	$34.33	$45.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $35.60 / $59.49	Facility		$35.60	$35.60	$59.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $62.63 / $80.50	Professional		$35.60	$62.63	$80.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $59.85 / $75.38	Professional		$49.86	$59.85	$75.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $69.48 / $253.09	Facility		$35.65	$69.48	$253.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $29.40 / $73.88	Professional		$25.48	$29.40	$73.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $59.49 / $93.39	Facility		$59.49	$59.49	$93.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.32 / $71.29 / $141.10	Professional		$59.32	$71.29	$141.10
United Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $27.44 / $73.88	Professional		$24.28	$27.44	$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