Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $57.54	Facility		$51.29	$51.29	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $52.48	Professional		$25.70	$36.31	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $74.13	Facility		$44.67	$44.67	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $100.00	Professional		$44.67	$81.28	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $89.13	Professional		$61.66	$74.13	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.11 / $331.13	Facility		$44.67	$85.11	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $109.65	Professional		$31.62	$45.71	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $93.33	Professional		$72.44	$75.86	$93.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $109.65	Professional		$70.79	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $46.77 / $100.00	Facility		$30.20	$46.77	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $60.26	Professional		$31.62	$35.48	$60.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $64.57	Professional		$51.29	$64.57	$64.57