Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.06 / $42.06 / $51.96	Facility		$42.06	$42.06	$51.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $32.17 / $47.84	Professional		$22.04	$32.17	$47.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $58.92	Facility		$39.15	$39.15	$58.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $70.13 / $87.66	Professional		$39.15	$70.13	$87.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $60.54 / $87.26	Professional		$50.88	$60.54	$87.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $69.63 / $295.50	Facility		$33.65	$69.63	$295.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $30.42 / $73.19	Professional		$25.61	$30.42	$73.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.74 / $58.92 / $81.37	Facility		$58.74	$58.92	$81.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $69.63 / $112.59	Professional		$53.35	$69.63	$112.59
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $27.61 / $68.72	Professional		$25.61	$27.61	$68.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $52.49 / $52.49	Facility		$52.49	$52.49	$52.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $52.49 / $52.49	Professional		$41.47	$52.49	$52.49