Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $40.24 / $45.91	Facility		$40.24	$40.24	$45.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $40.04 / $53.04	Professional		$18.52	$40.04	$53.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $37.90 / $69.41	Facility		$37.90	$37.90	$69.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $69.41 / $91.41	Professional		$42.99	$69.41	$91.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.10 / $105.60	Professional		$63.10	$93.10	$105.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $73.31 / $296.43	Facility		$43.12	$73.31	$296.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $32.53 / $86.22	Professional		$26.76	$32.53	$86.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $69.41 / $83.19	Facility		$69.20	$69.41	$83.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $78.69 / $132.63	Professional		$54.33	$78.69	$132.63
United Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $31.48 / $78.23	Professional		$26.76	$31.48	$78.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $59.95 / $59.95 / $59.95	Facility		$59.95	$59.95	$59.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $59.95 / $59.95	Professional		$47.36	$59.95	$59.95