Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $44.48 / $50.75	Facility		$44.48	$44.48	$50.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $44.28 / $58.64	Professional		$20.47	$44.28	$58.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $37.70 / $76.73	Facility		$37.70	$37.70	$76.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $74.64 / $101.25	Professional		$37.70	$74.64	$101.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $81.19 / $92.09	Professional		$66.97	$81.19	$92.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $81.06 / $327.64	Facility		$47.66	$81.06	$327.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $35.96 / $95.31	Professional		$29.58	$35.96	$95.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.51 / $76.73 / $91.96	Facility		$76.51	$76.73	$91.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $87.56 / $146.63	Professional		$60.05	$87.56	$146.63
United Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $34.79 / $86.48	Professional		$29.58	$34.79	$86.48
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $66.26 / $66.26 / $66.26	Facility		$66.26	$66.26	$66.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $66.26 / $66.26	Professional		$52.35	$66.26	$66.26