Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $52.62 / $73.47	Facility		$52.62	$52.62	$73.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $45.48 / $77.61	Professional		$31.91	$45.48	$77.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $83.30	Facility		$48.98	$48.98	$83.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.75 / $109.69	Professional		$48.98	$87.75	$109.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $88.65 / $122.84	Professional		$71.94	$88.65	$122.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.57 / $97.31 / $399.39	Facility		$47.57	$97.31	$399.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $43.01 / $103.47	Professional		$36.20	$43.01	$103.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.06 / $83.30 / $115.04	Facility		$83.06	$83.30	$115.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $97.31 / $159.21	Professional		$75.43	$97.31	$159.21
United Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $37.78 / $75.73	Professional		$36.99	$37.78	$75.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $74.22 / $74.22 / $74.22	Facility		$74.22	$74.22	$74.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $74.22 / $74.22	Professional		$58.63	$74.22	$74.22