Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $51.29	Facility		$43.65	$43.65	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $61.66	Professional		$28.84	$37.15	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $79.43	Facility		$38.90	$38.90	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $81.28 / $102.33	Professional		$38.90	$81.28	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $83.18	Professional		$60.26	$77.62	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $89.13 / $331.13	Facility		$43.65	$89.13	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $42.66 / $117.49	Professional		$31.62	$42.66	$117.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $95.50	Professional		$77.62	$79.43	$95.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $117.49	Professional		$72.44	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $52.48 / $102.33	Facility		$23.99	$52.48	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $64.57	Professional		$30.90	$34.67	$64.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $66.07	Professional		$52.48	$66.07	$66.07