Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $41.92 / $47.82	Facility		$41.92	$41.92	$47.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $41.72 / $55.25	Professional		$19.30	$41.72	$55.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $72.30	Facility		$39.47	$39.47	$72.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $72.30 / $95.16	Professional		$44.77	$72.30	$95.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $111.72 / $126.72	Professional		$65.73	$111.72	$126.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $76.38 / $308.79	Facility		$44.93	$76.38	$308.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $33.88 / $89.80	Professional		$27.87	$33.88	$89.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $72.30 / $86.66	Facility		$72.09	$72.30	$86.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $82.02 / $138.16	Professional		$56.58	$82.02	$138.16
United Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $32.79 / $81.48	Professional		$27.87	$32.79	$81.48
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $62.44 / $62.44 / $62.44	Facility		$62.44	$62.44	$62.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $62.44 / $62.44	Professional		$49.33	$62.44	$62.44