Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $52.98 / $55.48	Facility		$52.98	$52.98	$55.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $45.79 / $72.31	Professional		$31.38	$45.79	$72.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $83.88	Facility		$54.11	$54.11	$83.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $88.50 / $110.63	Professional		$54.11	$88.50	$110.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $84.38 / $91.17	Professional		$72.44	$84.38	$91.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.90 / $97.97 / $395.32	Facility		$47.90	$97.97	$395.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $42.98 / $104.18	Professional		$36.45	$42.98	$104.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.63 / $83.88 / $115.83	Facility		$83.63	$83.88	$115.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $97.97 / $160.27	Professional		$68.69	$97.97	$160.27
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $38.04 / $89.70	Professional		$36.45	$38.04	$89.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $74.73 / $74.73	Facility		$74.73	$74.73	$74.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $74.73 / $74.73	Professional		$59.04	$74.73	$74.73