Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.93 / $53.93 / $90.87	Facility		$53.93	$53.93	$90.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $53.93 / $107.05	Professional		$41.11	$53.93	$107.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $41.89 / $41.89	Facility		$41.89	$41.89	$41.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $44.39 / $51.75	Professional		$41.40	$44.39	$51.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $41.11 / $74.41	Professional		$32.89	$41.11	$74.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $49.28 / $62.59	Facility		$41.06	$49.28	$62.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.06 / $62.43	Professional		$41.06	$41.06	$62.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.72 / $62.43 / $94.56	Facility		$48.72	$62.43	$94.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.45 / $49.28 / $84.78	Professional		$47.45	$49.28	$84.78
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $42.34	Professional		$41.11	$41.11	$42.34
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $41.06 / $41.06	Facility		$41.06	$41.06	$41.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.06 / $41.06	Professional		$41.06	$41.06	$41.06