Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $65.55 / $65.55	Facility		$52.14	$65.55	$65.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $45.38 / $85.34	Professional		$29.49	$45.38	$85.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $78.84	Facility		$52.95	$52.95	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $109.50 / $136.88	Professional		$52.95	$109.50	$136.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $82.79 / $94.34	Professional		$70.05	$82.79	$94.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $92.08 / $377.30	Facility		$45.02	$92.08	$377.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $40.40 / $97.92	Professional		$34.26	$40.40	$97.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $78.84 / $108.87	Facility		$78.59	$78.84	$108.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $92.08 / $150.63	Professional		$64.56	$92.08	$150.63
United Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $35.75 / $94.00	Professional		$35.43	$35.75	$94.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $70.23 / $70.23	Facility		$70.23	$70.23	$70.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.49 / $70.23 / $70.23	Professional		$55.49	$70.23	$70.23