Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $44.73 / $47.34	Facility		$44.73	$44.73	$47.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $34.53 / $57.80	Professional		$25.85	$34.53	$57.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $70.47	Facility		$38.36	$38.36	$70.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $74.63 / $93.28	Professional		$38.36	$74.63	$93.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $74.90 / $85.87	Professional		$60.86	$74.90	$85.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $82.31 / $299.70	Facility		$40.24	$82.31	$299.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $33.15 / $87.34	Professional		$28.69	$33.15	$87.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.26 / $70.47 / $87.34	Facility		$70.26	$70.47	$87.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $82.31 / $134.63	Professional		$57.71	$82.31	$134.63
United Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $31.96 / $75.37	Professional		$28.43	$31.96	$75.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $60.86 / $60.86 / $60.86	Facility		$60.86	$60.86	$60.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $60.86 / $60.86	Professional		$48.08	$60.86	$60.86