Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.16 / $52.16 / $55.25	Facility		$52.16	$52.16	$55.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $40.28 / $67.41	Professional		$30.16	$40.28	$67.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $82.17	Facility		$41.91	$41.91	$82.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $87.00 / $108.75	Professional		$70.20	$87.00	$108.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $74.70 / $78.17	Professional		$70.97	$74.70	$78.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.93 / $95.99 / $349.60	Facility		$46.93	$95.99	$349.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $38.51 / $101.88	Professional		$33.15	$38.51	$101.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.93 / $82.17 / $101.88	Facility		$81.93	$82.17	$101.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $95.99 / $157.07	Professional		$67.31	$95.99	$157.07
United Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $107.32 / $174.39	Facility		$107.32	$107.32	$174.39
United Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $37.27 / $87.93	Professional		$33.15	$37.27	$87.93
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $70.97 / $70.97 / $70.97	Facility		$70.97	$70.97	$70.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $70.97 / $70.97	Professional		$56.07	$70.97	$70.97