Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.31 / $40.31 / $88.13	Facility		$40.31	$40.31	$88.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $40.31 / $86.72	Professional		$39.86	$40.31	$86.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $40.61 / $40.61	Facility		$40.61	$40.61	$40.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $39.34 / $49.17	Professional		$39.34	$39.34	$49.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $39.86 / $73.70	Professional		$28.10	$39.86	$73.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $40.31 / $52.72	Facility		$36.00	$40.31	$52.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $39.88 / $57.92	Professional		$36.00	$39.88	$57.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $57.92 / $78.62	Facility		$36.72	$57.92	$78.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $44.46 / $64.28	Professional		$34.27	$44.46	$64.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $41.07	Professional		$39.86	$39.86	$41.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Facility		$39.88	$39.88	$39.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88