Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $47.56 / $66.40	Facility		$47.56	$47.56	$66.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $41.11 / $61.14	Professional		$28.17	$41.11	$61.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $75.30	Facility		$42.77	$42.77	$75.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $79.50 / $99.38	Professional		$42.77	$79.50	$99.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $74.34 / $80.33	Professional		$65.03	$74.34	$80.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $87.95 / $365.88	Facility		$43.00	$87.95	$365.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $38.58 / $93.53	Professional		$32.72	$38.58	$93.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.08 / $75.30 / $103.99	Facility		$75.08	$75.30	$103.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $87.95 / $143.90	Professional		$67.00	$87.95	$143.90
United Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $33.85 / $40.61	Facility		$28.21	$33.85	$40.61
United Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $34.15 / $88.99	Professional		$32.72	$34.15	$88.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $67.08 / $67.08 / $67.08	Facility		$67.08	$67.08	$67.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $67.08 / $67.08	Professional		$52.99	$67.08	$67.08