Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $33.24 / $48.93	Facility		$9.00	$33.24	$48.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $30.00 / $45.86	Professional		$19.10	$30.00	$45.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $59.25	Facility		$38.15	$38.15	$59.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $59.06 / $74.98	Professional		$38.15	$59.06	$74.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $64.00 / $70.62	Professional		$35.36	$64.00	$70.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $70.02 / $181.21	Facility		$30.00	$70.02	$181.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $34.19 / $86.62	Professional		$29.59	$34.19	$86.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $63.94 / $80.77	Facility		$59.25	$63.94	$80.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $70.02 / $124.60	Professional		$59.25	$70.02	$124.60
United Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $77.73 / $126.32	Facility		$77.73	$77.73	$126.32
United Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $32.95 / $70.23	Professional		$29.32	$32.95	$70.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $52.78 / $52.78	Facility		$52.78	$52.78	$52.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $52.78 / $52.78	Professional		$41.70	$52.78	$52.78