Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $80.65	Facility		$42.49	$42.49	$80.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $42.49 / $179.42	Professional		$34.04	$42.49	$179.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $40.79 / $40.79	Facility		$40.79	$40.79	$40.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $47.46 / $50.34	Professional		$40.28	$47.46	$50.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $34.04 / $150.00	Professional		$30.02	$34.04	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $42.49 / $86.22	Facility		$36.65	$42.49	$86.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.65 / $71.45	Professional		$36.65	$36.65	$71.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $67.47 / $101.72	Facility		$43.99	$67.47	$101.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $56.11 / $117.57	Professional		$41.00	$56.11	$117.57
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $35.07	Professional		$34.04	$34.04	$35.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Facility		$36.65	$36.65	$36.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Professional		$36.65	$36.65	$36.65