Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $42.57 / $140.43	Facility		$42.57	$42.57	$140.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $50.82 / $105.80	Professional		$42.57	$50.82	$105.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $52.94 / $52.94	Facility		$52.94	$52.94	$52.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $52.95 / $66.19	Professional		$52.95	$52.95	$66.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $114.35 / $150.00	Professional		$52.61	$114.35	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $55.76 / $70.54	Facility		$42.57	$55.76	$70.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.59 / $65.45	Professional		$45.00	$55.59	$65.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $44.26 / $70.54 / $109.43	Facility		$44.26	$70.54	$109.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $49.88 / $70.54	Professional		$41.15	$49.88	$70.54
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $55.59 / $59.29	Professional		$52.94	$55.59	$59.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $52.94 / $52.94	Facility		$52.94	$52.94	$52.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $52.94 / $52.94	Professional		$52.94	$52.94	$52.94