Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $38.32 / $48.00	Facility		$38.32	$38.32	$48.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $30.94 / $49.08	Professional		$25.55	$30.94	$49.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Facility		$49.68	$49.68	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $57.75 / $73.76	Professional		$49.68	$57.75	$73.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $91.17 / $97.52	Professional		$88.65	$91.17	$97.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $105.00 / $269.04	Facility		$30.94	$105.00	$269.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $38.81 / $97.44	Professional		$29.81	$38.81	$97.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.91 / $73.76 / $116.71	Facility		$61.91	$73.76	$116.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $89.73 / $126.86	Professional		$61.61	$89.73	$126.86
United Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $32.92 / $70.70	Professional		$29.81	$32.92	$70.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $45.22 / $45.22	Facility		$45.22	$45.22	$45.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $45.22 / $45.22	Professional		$35.72	$45.22	$45.22