Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $42.30 / $48.27	Facility		$42.30	$42.30	$48.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $42.11 / $55.77	Professional		$19.47	$42.11	$55.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $72.95	Facility		$39.86	$39.86	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $72.95 / $96.09	Professional		$45.21	$72.95	$96.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $81.84 / $126.72	Professional		$66.33	$81.84	$126.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.33 / $77.09 / $311.58	Facility		$45.33	$77.09	$311.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $34.20 / $90.64	Professional		$28.13	$34.20	$90.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.75 / $72.95 / $87.45	Facility		$72.75	$72.95	$87.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $83.13 / $139.44	Professional		$57.12	$83.13	$139.44
United Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $33.10 / $82.24	Professional		$28.13	$33.10	$82.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $63.01 / $63.01 / $63.01	Facility		$63.01	$63.01	$63.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $63.01 / $63.01	Professional		$49.78	$63.01	$63.01