Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $44.67	Facility		$38.02	$38.02	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $53.70	Professional		$25.12	$32.36	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $69.18	Facility		$36.31	$36.31	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $89.13	Professional		$36.31	$70.79	$89.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $75.86	Professional		$52.48	$70.79	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $288.40	Facility		$38.90	$77.62	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $102.33	Professional		$27.54	$37.15	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $83.18	Professional		$67.61	$69.18	$83.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $102.33	Professional		$63.10	$102.33	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $45.71 / $89.13	Facility		$20.89	$45.71	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $56.23	Professional		$26.92	$30.20	$56.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $57.54	Professional		$45.71	$57.54	$57.54