Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $42.58 / $45.10	Facility		$42.58	$42.58	$45.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $32.90 / $55.05	Professional		$24.63	$32.90	$55.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $67.09	Facility		$34.22	$34.22	$67.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $70.88 / $88.59	Professional		$34.22	$70.88	$88.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $60.99 / $63.85	Professional		$57.94	$60.99	$63.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.31 / $72.39 / $285.48	Facility		$38.31	$72.39	$285.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $31.44 / $83.19	Professional		$27.32	$31.44	$83.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.89 / $67.09 / $83.19	Facility		$66.89	$67.09	$83.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $78.37 / $128.19	Professional		$54.94	$78.37	$128.19
United Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $30.43 / $79.68	Professional		$27.08	$30.43	$79.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $57.94 / $57.94 / $57.94	Facility		$57.94	$57.94	$57.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $57.94 / $57.94	Professional		$45.77	$57.94	$57.94