Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $50.11 / $59.24	Facility		$50.11	$50.11	$59.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $43.32 / $75.53	Professional		$30.31	$43.32	$75.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $105.78	Facility		$46.45	$46.45	$105.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $84.30 / $105.78	Professional		$67.44	$84.30	$105.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $94.52 / $100.16	Professional		$72.12	$94.52	$100.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.41 / $110.73 / $383.48	Facility		$60.41	$110.73	$383.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $47.98 / $126.14	Professional		$35.97	$47.98	$126.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.46 / $105.78 / $126.78	Facility		$105.46	$105.78	$126.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $113.92 / $202.13	Professional		$82.79	$113.92	$202.13
United Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $47.98 / $93.76	Professional		$35.65	$47.98	$93.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $94.24 / $94.24 / $94.24	Facility		$94.24	$94.24	$94.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $94.24 / $94.24	Professional		$74.45	$94.24	$94.24