Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.16 / $43.16 / $47.13	Facility		$43.16	$43.16	$47.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.01 / $52.06	Professional		$23.99	$35.01	$52.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $68.56	Facility		$38.57	$38.57	$68.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $72.00 / $90.00	Professional		$58.13	$72.00	$90.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $66.04 / $71.56	Professional		$58.29	$66.04	$71.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $77.98 / $310.38	Facility		$39.15	$77.98	$310.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $33.08 / $85.18	Professional		$28.82	$33.08	$85.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.38 / $68.56 / $88.55	Facility		$68.38	$68.56	$88.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $80.11 / $131.06	Professional		$56.17	$80.11	$131.06
United Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $28.82 / $33.65	Facility		$0.05	$28.82	$33.65
United Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $31.10 / $73.44	Professional		$28.82	$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