Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $36.22 / $38.31	Facility		$36.22	$36.22	$38.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $27.95 / $46.76	Professional		$20.92	$27.95	$46.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $57.04	Facility		$34.89	$34.89	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $60.38 / $75.47	Professional		$34.89	$60.38	$75.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $60.62 / $66.06	Professional		$49.26	$60.62	$66.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $61.57 / $242.56	Facility		$32.57	$61.57	$242.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $26.84 / $70.69	Professional		$23.21	$26.84	$70.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $57.04 / $70.69	Facility		$56.87	$57.04	$70.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $66.62 / $109.00	Professional		$46.72	$66.62	$109.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $25.87 / $63.63	Professional		$23.01	$25.87	$63.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $49.26 / $49.26	Facility		$49.26	$49.26	$49.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $49.26 / $49.26	Professional		$38.92	$49.26	$49.26