Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $48.39 / $48.39	Facility		$42.86	$48.39	$48.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $34.70 / $49.91	Professional		$24.07	$34.70	$49.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $70.33	Facility		$37.36	$37.36	$70.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $67.13 / $83.91	Professional		$37.36	$67.13	$83.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $67.41 / $82.60	Professional		$57.77	$67.41	$82.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $82.26 / $305.37	Facility		$40.78	$82.26	$305.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $40.26 / $84.05	Professional		$30.57	$40.26	$84.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $70.33 / $87.77	Facility		$70.13	$70.33	$87.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $82.16 / $134.40	Professional		$57.61	$82.16	$134.40
United Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $31.90 / $75.09	Professional		$30.57	$31.90	$75.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $62.66 / $62.66 / $62.66	Facility		$62.66	$62.66	$62.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $62.66 / $62.66	Professional		$49.50	$62.66	$62.66