Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.03 / $47.03 / $69.20	Facility		$47.03	$47.03	$69.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $43.10 / $146.63	Professional		$27.13	$43.10	$146.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.17 / $52.17 / $83.83	Facility		$52.17	$52.17	$83.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $72.26 / $90.33	Professional		$52.17	$72.26	$90.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $89.30 / $96.49	Professional		$50.05	$89.30	$96.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $98.69 / $256.42	Facility		$42.46	$98.69	$256.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $49.26 / $127.69	Professional		$41.86	$49.26	$127.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.83 / $90.49 / $114.30	Facility		$83.83	$90.49	$114.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $100.24 / $176.31	Professional		$83.83	$100.24	$176.31
United Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $46.63 / $80.04	Professional		$41.86	$46.63	$80.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $74.69 / $74.69 / $74.69	Facility		$74.69	$74.69	$74.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $74.69 / $74.69	Professional		$59.01	$74.69	$74.69