Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $54.95 / $54.95	Facility		$40.74	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $57.54	Professional		$28.18	$40.74	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $74.13	Facility		$39.81	$39.81	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $95.50	Professional		$46.77	$75.86	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $125.89	Professional		$63.10	$114.82	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $72.44 / $309.03	Facility		$44.67	$72.44	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $109.65	Professional		$30.20	$39.81	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $85.11	Professional		$72.44	$75.86	$85.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $109.65	Professional		$56.23	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $33.11 / $46.77	Facility		$19.50	$33.11	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $60.26	Professional		$28.18	$33.11	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $63.10	Professional		$48.98	$63.10	$63.10