Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.79 / $45.79 / $48.46	Facility		$45.79	$45.79	$48.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $35.35 / $59.15	Professional		$26.48	$35.35	$59.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $72.12	Facility		$36.78	$36.78	$72.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.63 / $76.50 / $95.63	Professional		$61.63	$76.50	$95.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $72.13 / $78.17	Professional		$62.28	$72.13	$78.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $84.24 / $306.82	Facility		$41.18	$84.24	$306.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $33.94 / $89.42	Professional		$29.36	$33.94	$89.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $72.12 / $89.42	Facility		$71.90	$72.12	$89.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.08 / $84.24 / $137.79	Professional		$59.08	$84.24	$137.79
United Facility/Professional Facility Modifier Low / Median / High Price $94.18 / $94.18 / $153.04	Facility		$94.18	$94.18	$153.04
United Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $32.71 / $77.17	Professional		$29.11	$32.71	$77.17
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $62.28 / $62.28 / $62.28	Facility		$62.28	$62.28	$62.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $62.28 / $62.28	Professional		$49.20	$62.28	$62.28