Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $36.22 / $38.31	Facility		$36.22	$36.22	$38.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $27.95 / $46.76	Professional		$20.92	$27.95	$46.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $57.04	Facility		$36.33	$36.33	$57.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $60.38 / $75.47	Professional		$48.75	$60.38	$75.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $60.62 / $68.26	Professional		$49.26	$60.62	$68.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $66.62 / $242.56	Facility		$32.57	$66.62	$242.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $26.84 / $70.69	Professional		$23.21	$26.84	$70.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $57.04 / $70.69	Facility		$56.87	$57.04	$70.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $66.62 / $109.00	Professional		$46.72	$66.62	$109.00
United Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $23.01 / $27.62	Facility		$19.18	$23.01	$27.62
United Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $25.87 / $67.76	Professional		$23.01	$25.87	$67.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $49.26 / $49.26	Facility		$49.26	$49.26	$49.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $49.26 / $49.26	Professional		$38.92	$49.26	$49.26