Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.62 / $56.65 / $56.65	Facility		$54.62	$56.65	$56.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $41.90 / $61.10	Professional		$28.34	$41.90	$61.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $86.35	Facility		$36.72	$36.72	$86.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $94.50 / $118.13	Professional		$36.72	$94.50	$118.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $75.31 / $81.53	Professional		$65.93	$75.31	$81.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $96.31 / $353.81	Facility		$49.32	$96.31	$353.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $40.02 / $105.99	Professional		$33.65	$40.02	$105.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.10 / $86.35 / $103.49	Facility		$86.10	$86.35	$103.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $100.87 / $165.02	Professional		$70.73	$100.87	$165.02
United Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $39.15 / $102.96	Professional		$33.35	$39.15	$102.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $76.93 / $76.93 / $76.93	Facility		$76.93	$76.93	$76.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $76.93 / $76.93	Professional		$60.77	$76.93	$76.93