Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $54.30 / $57.47	Facility		$54.30	$54.30	$57.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $41.93 / $70.18	Professional		$31.39	$41.93	$70.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $43.62 / $85.54	Facility		$43.62	$43.62	$85.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $90.75 / $113.44	Professional		$43.62	$90.75	$113.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $90.97 / $215.88	Professional		$73.87	$90.97	$215.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $99.93 / $363.92	Facility		$48.85	$99.93	$363.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $40.25 / $106.07	Professional		$34.83	$40.25	$106.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.29 / $85.54 / $106.07	Facility		$85.29	$85.54	$106.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $99.93 / $163.47	Professional		$70.08	$99.93	$163.47
United Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $38.79 / $91.51	Professional		$34.52	$38.79	$91.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $73.87 / $73.87 / $73.87	Facility		$73.87	$73.87	$73.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $73.87 / $73.87	Professional		$58.36	$73.87	$73.87