Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.31 / $48.31 / $98.58	Facility		$48.31	$48.31	$98.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $1,719.00 / $7,029.37	Professional		$44.60	$1,719.00	$7,029.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Facility		$45.45	$45.45	$45.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $40.88 / $51.09	Professional		$40.88	$40.88	$51.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $44.60 / $95.80	Professional		$35.68	$44.60	$95.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $45.88 / $54.10	Facility		$28.00	$45.88	$54.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $40.56 / $56.63	Professional		$34.10	$40.56	$56.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $40.31 / $56.63 / $82.87	Facility		$40.31	$56.63	$82.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $45.88 / $73.34	Professional		$28.00	$45.88	$73.34
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $45.94	Professional		$44.60	$44.60	$45.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $40.56 / $40.56 / $40.56	Facility		$40.56	$40.56	$40.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $40.56 / $40.56	Professional		$40.56	$40.56	$40.56