Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $44.91 / $95.47	Facility		$44.91	$44.91	$95.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $44.91 / $113.66	Professional		$43.19	$44.91	$113.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $44.03 / $44.03	Facility		$44.03	$44.03	$44.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $46.92 / $54.94	Professional		$43.95	$46.92	$54.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $43.19 / $104.58	Professional		$31.73	$43.19	$104.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $44.91 / $66.44	Facility		$43.29	$44.91	$66.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $43.29 / $65.06	Professional		$43.29	$43.29	$65.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.77 / $65.06 / $92.44	Facility		$51.77	$65.06	$92.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $51.77 / $87.55	Professional		$49.45	$51.77	$87.55
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $44.49	Professional		$43.19	$43.19	$44.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $43.29 / $43.29	Facility		$43.29	$43.29	$43.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $43.29 / $43.29	Professional		$43.29	$43.29	$43.29