Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $43.80 / $58.28	Facility		$43.80	$43.80	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $37.79 / $71.06	Professional		$30.65	$37.79	$71.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $68.56	Facility		$40.77	$40.77	$68.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $73.13 / $91.41	Professional		$58.96	$73.13	$91.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $73.80 / $79.73	Professional		$59.22	$73.80	$79.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $80.11 / $327.13	Facility		$39.15	$80.11	$327.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $35.15 / $85.18	Professional		$29.81	$35.15	$85.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $69.00 / $94.71	Facility		$68.56	$69.00	$94.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $81.04 / $131.06	Professional		$62.10	$81.04	$131.06
United Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $31.10 / $73.44	Professional		$29.81	$31.10	$73.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $61.09 / $61.09 / $61.09	Facility		$61.09	$61.09	$61.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $61.09 / $61.09	Professional		$48.26	$61.09	$61.09