Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.82 / $62.82 / $97.88	Facility		$62.82	$62.82	$97.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $62.82 / $5,015.10	Professional		$44.11	$62.82	$5,015.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $44.93 / $44.93	Facility		$44.93	$44.93	$44.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $45.98 / $55.22	Professional		$44.18	$45.98	$55.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $45.38 / $120.86	Professional		$44.11	$45.38	$120.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $52.05 / $66.80	Facility		$28.00	$52.05	$66.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $44.49 / $65.70	Professional		$34.35	$44.49	$65.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.05 / $65.70 / $90.64	Facility		$52.05	$65.70	$90.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $53.39 / $104.14	Professional		$28.00	$53.39	$104.14
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $45.43	Professional		$44.11	$44.11	$45.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $44.49 / $44.49	Facility		$44.49	$44.49	$44.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $44.49 / $44.49	Professional		$44.49	$44.49	$44.49