Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $45.12	Facility		$39.92	$39.92	$45.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $28.62 / $41.73	Professional		$19.85	$28.62	$41.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.78 / $29.78 / $59.02	Facility		$29.78	$29.78	$59.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $55.13 / $68.91	Professional		$29.78	$55.13	$68.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $53.65 / $62.54	Professional		$47.66	$53.65	$62.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $68.93 / $253.42	Facility		$34.21	$68.93	$253.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $33.21 / $72.39	Professional		$25.64	$33.21	$72.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $58.85 / $59.02 / $72.39	Facility		$58.85	$59.02	$72.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $68.93 / $112.75	Professional		$48.31	$68.93	$112.75
United Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $27.65 / $61.96	Professional		$25.64	$27.65	$61.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $52.58 / $52.58 / $52.58	Facility		$52.58	$52.58	$52.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $52.58 / $52.58	Professional		$41.54	$52.58	$52.58