Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.44 / $120.28	Facility		$55.16	$55.44	$120.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.16 / $55.16 / $63.99	Professional		$55.16	$55.16	$63.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.58 / $54.58 / $54.58	Facility		$54.58	$54.58	$54.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $55.15 / $68.25	Professional		$54.60	$55.15	$68.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $82.09 / $101.06	Professional		$50.54	$82.09	$101.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $66.19 / $236.62	Facility		$51.19	$66.19	$236.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $71.70	Professional		$22.06	$55.16	$71.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $64.31 / $69.67	Facility		$33.00	$64.31	$69.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $61.10 / $95.49	Professional		$33.71	$61.10	$95.49
United Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $88.42 / $88.42	Facility		$88.42	$88.42	$88.42
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $55.16 / $68.06	Professional		$22.06	$55.16	$68.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.16 / $55.16	Facility		$55.16	$55.16	$55.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $55.16 / $60.36	Professional		$47.68	$55.16	$60.36