Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.08 / $34.08 / $36.04	Facility		$34.08	$34.08	$36.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $26.32 / $44.04	Professional		$19.70	$26.32	$44.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $53.66	Facility		$33.72	$33.72	$53.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $57.00 / $71.25	Professional		$33.72	$57.00	$71.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $50.80 / $55.05	Professional		$46.34	$50.80	$55.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $62.68 / $228.34	Facility		$30.64	$62.68	$228.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.26 / $66.56	Professional		$21.86	$25.26	$66.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.49 / $53.66 / $66.56	Facility		$53.49	$53.66	$66.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $62.68 / $102.55	Professional		$43.96	$62.68	$102.55
United Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $70.09 / $113.90	Facility		$70.09	$70.09	$113.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $24.34 / $57.46	Professional		$21.66	$24.34	$57.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.34 / $46.34 / $46.34	Facility		$46.34	$46.34	$46.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $46.34 / $46.34	Professional		$36.61	$46.34	$46.34