Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.08 / $34.08 / $36.04	Facility		$34.08	$34.08	$36.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $26.32 / $44.04	Professional		$19.70	$26.32	$44.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $27.38 / $53.66	Facility		$27.38	$27.38	$53.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $57.00 / $71.25	Professional		$27.38	$57.00	$71.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $57.05 / $101.09	Professional		$46.34	$57.05	$101.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $57.94 / $228.34	Facility		$24.12	$57.94	$228.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.26 / $66.56	Professional		$21.86	$25.26	$66.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.49 / $53.66 / $66.56	Facility		$53.49	$53.66	$66.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $62.68 / $102.55	Professional		$43.96	$62.68	$102.55
United Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $24.34 / $63.75	Professional		$21.66	$24.34	$63.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.34 / $46.34 / $46.34	Facility		$46.34	$46.34	$46.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $46.34 / $46.34	Professional		$36.61	$46.34	$46.34