Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $38.02	Facility		$32.36	$32.36	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $45.71	Professional		$20.89	$26.92	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $57.54	Facility		$36.31	$36.31	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $75.86	Professional		$36.31	$60.26	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $69.18	Professional		$44.67	$63.10	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $66.07 / $239.88	Facility		$33.11	$66.07	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $87.10	Professional		$23.44	$31.62	$87.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $70.79	Professional		$56.23	$58.88	$70.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $87.10	Professional		$53.70	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.90 / $75.86	Facility		$17.78	$38.90	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $47.86	Professional		$22.91	$25.70	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $48.98	Professional		$38.90	$48.98	$48.98