Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $58.19 / $58.19	Facility		$52.70	$58.19	$58.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $36.82 / $53.69	Professional		$25.55	$36.82	$53.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $72.72	Facility		$44.94	$44.94	$72.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $80.63 / $100.78	Professional		$44.94	$80.63	$100.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $72.22 / $88.50	Professional		$62.80	$72.22	$88.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $85.94 / $328.96	Facility		$42.16	$85.94	$328.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $42.22 / $90.31	Professional		$31.60	$42.22	$90.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $72.72 / $93.16	Facility		$72.50	$72.72	$93.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $85.94 / $138.94	Professional		$61.75	$85.94	$138.94
United Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $37.24	Facility		$37.24	$37.24	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $40.21 / $86.63	Professional		$31.60	$40.21	$86.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $64.79 / $64.79	Facility		$64.79	$64.79	$64.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $64.79 / $64.79	Professional		$51.18	$64.79	$64.79