Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $45.71	Facility		$38.90	$38.90	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $54.95	Professional		$25.70	$33.11	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $70.79	Facility		$34.67	$34.67	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $72.44 / $91.20	Professional		$34.67	$72.44	$91.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $75.86	Professional		$53.70	$70.79	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $79.43 / $295.12	Facility		$39.81	$79.43	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $104.71	Professional		$28.18	$38.02	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $85.11	Professional		$69.18	$70.79	$85.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $104.71	Professional		$64.57	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $46.77 / $91.20	Facility		$21.38	$46.77	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $57.54	Professional		$27.54	$30.90	$57.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $58.88	Professional		$46.77	$58.88	$58.88