Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Facility		$39.81	$39.81	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $56.23	Professional		$25.70	$33.88	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $72.44	Facility		$38.02	$38.02	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $74.13 / $93.33	Professional		$38.02	$74.13	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $87.10	Professional		$54.95	$79.43	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $83.18 / $302.00	Facility		$40.74	$83.18	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $107.15	Professional		$28.84	$38.90	$107.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $72.44 / $87.10	Professional		$70.79	$72.44	$87.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $107.15	Professional		$66.07	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $47.86 / $93.33	Facility		$21.88	$47.86	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $58.88	Professional		$28.18	$31.62	$58.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $60.26	Professional		$47.86	$60.26	$60.26