Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $36.11 / $36.11	Facility		$35.81	$36.11	$36.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $29.56 / $54.85	Professional		$25.61	$29.56	$54.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $56.00	Facility		$31.92	$31.92	$56.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $60.38 / $75.47	Professional		$31.92	$60.38	$75.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $51.98 / $65.78	Professional		$48.36	$51.98	$65.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.98 / $65.42 / $258.76	Facility		$31.98	$65.42	$258.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $28.38 / $69.56	Professional		$24.34	$28.38	$69.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.84 / $56.00 / $74.78	Facility		$55.84	$56.00	$74.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $65.42 / $107.03	Professional		$45.88	$65.42	$107.03
United Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $25.40 / $66.79	Professional		$24.34	$25.40	$66.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $49.89 / $49.89	Facility		$49.89	$49.89	$49.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $49.89 / $49.89	Professional		$39.40	$49.89	$49.89