Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Facility		$52.48	$52.48	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $46.77 / $72.44	Professional		$28.18	$46.77	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $102.33	Facility		$44.67	$44.67	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $128.82	Professional		$44.67	$102.33	$128.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $8.71	Professional		$7.08	$8.71	$8.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $134.90 / $407.38	Facility		$11.48	$134.90	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $107.15	Professional		$30.20	$44.67	$107.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $234.42	Professional		$100.00	$114.82	$234.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $28.84 / $67.61	Facility		$3.55	$28.84	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $120.23	Professional		$36.31	$44.67	$120.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $81.28	Professional		$64.57	$81.28	$81.28