Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $57.54	Facility		$48.98	$48.98	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $67.61	Professional		$34.67	$43.65	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $117.49	Facility		$43.65	$43.65	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $97.72	Professional		$43.65	$75.86	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.31 / $6.92	Professional		$5.13	$6.31	$6.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $138.04 / $309.03	Facility		$12.88	$138.04	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $117.49	Professional		$38.02	$58.88	$117.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $269.15	Professional		$114.82	$134.90	$269.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $38.02 / $69.18	Facility		$4.37	$38.02	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $112.20	Professional		$39.81	$51.29	$112.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $93.33	Professional		$74.13	$93.33	$93.33