Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $39.40 / $45.86	Facility		$39.40	$39.40	$45.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $30.42 / $50.92	Professional		$22.77	$30.42	$50.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $62.08	Facility		$33.22	$33.22	$62.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $65.63 / $82.03	Professional		$33.22	$65.63	$82.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $59.28 / $65.45	Professional		$53.62	$59.28	$65.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $67.00 / $264.05	Facility		$35.46	$67.00	$264.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $29.21 / $77.12	Professional		$25.27	$29.21	$77.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.90 / $62.08 / $76.95	Facility		$61.90	$62.08	$76.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $72.52 / $118.63	Professional		$50.84	$72.52	$118.63
United Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $28.16 / $73.72	Professional		$25.04	$28.16	$73.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $53.62 / $53.62	Facility		$53.62	$53.62	$53.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $53.62 / $53.62	Professional		$42.36	$53.62	$53.62