Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $41.60 / $108.38	Facility		$41.60	$41.60	$108.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.60 / $49.03 / $112.48	Professional		$41.60	$49.03	$112.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.95 / $49.95 / $49.95	Facility		$49.95	$49.95	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $50.59 / $62.25	Professional		$49.80	$50.59	$62.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $39.22 / $74.17	Professional		$31.08	$39.22	$74.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $48.42 / $65.53	Facility		$22.00	$48.42	$65.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $48.42 / $66.70	Professional		$33.94	$48.42	$66.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $74.12 / $106.53	Facility		$43.64	$74.12	$106.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $57.49 / $74.12	Professional		$26.14	$57.49	$74.12
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $50.01	Professional		$49.03	$49.03	$50.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $48.42 / $48.42	Facility		$48.42	$48.42	$48.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $48.42 / $48.42	Professional		$48.42	$48.42	$48.42