Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.66 / $43.66 / $46.21	Facility		$43.66	$43.66	$46.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $33.70 / $56.41	Professional		$25.23	$33.70	$56.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $68.78	Facility		$35.07	$35.07	$68.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $72.75 / $90.94	Professional		$35.07	$72.75	$90.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $69.08 / $74.86	Professional		$59.40	$69.08	$74.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.28 / $80.34 / $292.55	Facility		$39.28	$80.34	$292.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $32.36 / $85.25	Professional		$28.00	$32.36	$85.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $68.78 / $85.25	Facility		$68.56	$68.78	$85.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $80.34 / $131.44	Professional		$56.34	$80.34	$131.44
United Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $31.19 / $73.59	Professional		$27.75	$31.19	$73.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $59.40 / $59.40	Facility		$59.40	$59.40	$59.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $59.40 / $59.40	Professional		$46.93	$59.40	$59.40