Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $64.57	Facility		$50.12	$57.54	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $61.66	Professional		$28.18	$38.90	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $104.71	Facility		$43.65	$43.65	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $85.11 / $107.15	Professional		$43.65	$85.11	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $93.33	Professional		$69.18	$79.43	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $371.54	Facility		$60.26	$107.15	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $154.88	Professional		$34.67	$53.70	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $120.23	Professional		$102.33	$107.15	$120.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $154.88 / $154.88	Professional		$79.43	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $45.71 / $114.82	Facility		$26.92	$45.71	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $81.28	Professional		$34.67	$46.77	$81.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $91.20	Professional		$72.44	$91.20	$91.20