Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.51 / $61.51 / $77.05	Facility		$61.51	$61.51	$77.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $49.66 / $78.59	Professional		$41.01	$49.66	$78.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Facility		$37.95	$37.95	$37.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $92.63 / $118.40	Professional		$37.95	$92.63	$118.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $151.96 / $162.54	Professional		$147.75	$151.96	$162.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $162.24 / $431.88	Facility		$45.75	$162.24	$431.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $62.29 / $155.69	Professional		$47.86	$62.29	$155.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.39 / $118.40 / $187.36	Facility		$99.39	$118.40	$187.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.90 / $144.04 / $203.67	Professional		$98.90	$144.04	$203.67
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.84 / $105.17	Professional		$47.86	$52.84	$105.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $59.60 / $59.60 / $59.60	Facility		$59.60	$59.60	$59.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.08 / $59.60 / $59.60	Professional		$47.08	$59.60	$59.60