Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $56.57 / $56.57	Facility		$50.12	$56.57	$56.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $41.84 / $59.17	Professional		$27.45	$41.84	$59.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.83 / $55.83 / $89.07	Facility		$55.83	$55.83	$89.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $94.50 / $118.13	Professional		$76.14	$94.50	$118.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $79.92 / $81.47	Professional		$66.25	$79.92	$81.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $96.17 / $362.42	Facility		$50.87	$96.17	$362.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $40.40 / $106.21	Professional		$33.04	$40.40	$106.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.82 / $89.07 / $106.74	Facility		$88.82	$89.07	$106.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $100.65 / $170.23	Professional		$72.95	$100.65	$170.23
United Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $40.40 / $95.21	Professional		$32.76	$40.40	$95.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $76.92 / $76.92 / $76.92	Facility		$76.92	$76.92	$76.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $76.92 / $76.92	Professional		$60.77	$76.92	$76.92