Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.34 / $51.60 / $51.60	Facility		$48.34	$51.60	$51.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $38.01 / $54.04	Professional		$25.46	$38.01	$54.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $66.55	Facility		$48.99	$48.99	$66.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $86.25 / $107.81	Professional		$48.99	$86.25	$107.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $66.31 / $74.27	Professional		$57.59	$66.31	$74.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.01 / $77.75 / $330.88	Facility		$38.01	$77.75	$330.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $34.36 / $82.67	Professional		$28.93	$34.36	$82.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.36 / $66.55 / $91.91	Facility		$66.36	$66.55	$91.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $78.65 / $127.19	Professional		$56.64	$78.65	$127.19
United Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $32.56 / $77.62	Professional		$28.93	$32.56	$77.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $59.29 / $59.29 / $59.29	Facility		$59.29	$59.29	$59.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $59.29 / $59.29	Professional		$46.84	$59.29	$59.29