Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $37.18	Facility		$35.11	$35.11	$37.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $27.12 / $45.40	Professional		$20.30	$27.12	$45.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $55.31	Facility		$33.84	$33.84	$55.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $58.50 / $73.13	Professional		$33.84	$58.50	$73.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $58.80 / $73.68	Professional		$47.77	$58.80	$73.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $64.61 / $235.40	Facility		$19.02	$64.61	$235.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $26.04 / $68.59	Professional		$22.53	$26.04	$68.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.16 / $55.31 / $68.59	Facility		$55.16	$55.31	$68.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $64.61 / $105.72	Professional		$45.30	$64.61	$105.72
United Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $25.09 / $65.69	Professional		$22.33	$25.09	$65.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $47.77 / $47.77 / $47.77	Facility		$47.77	$47.77	$47.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $47.77 / $47.77	Professional		$37.74	$47.77	$47.77