Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $46.77 / $46.77	Facility		$36.31	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $48.98	Professional		$23.99	$34.67	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $81.28	Professional		$44.67	$66.07	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $56.23	Professional		$45.71	$52.48	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $61.66 / $245.47	Facility		$38.02	$61.66	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $97.72	Professional		$25.70	$34.67	$97.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $64.57 / $75.86	Professional		$61.66	$64.57	$75.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $93.33	Professional		$57.54	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $30.20 / $41.69	Facility		$17.38	$30.20	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $51.29	Professional		$25.12	$28.18	$51.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $56.23	Professional		$44.67	$56.23	$56.23