Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $65.31 / $75.64	Facility		$65.31	$65.31	$75.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $46.84 / $75.52	Professional		$37.43	$46.84	$75.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $94.63	Facility		$48.73	$48.73	$94.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $90.38 / $112.97	Professional		$48.73	$90.38	$112.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $95.34 / $116.83	Professional		$77.98	$95.34	$116.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.86 / $111.03 / $406.12	Facility		$54.86	$111.03	$406.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $54.34 / $117.54	Professional		$41.13	$54.34	$117.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $94.63 / $118.46	Facility		$94.35	$94.63	$118.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $110.54 / $180.83	Professional		$82.00	$110.54	$180.83
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $45.65 / $112.75	Professional		$41.13	$45.65	$112.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $84.31 / $84.31 / $84.31	Facility		$84.31	$84.31	$84.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $84.31 / $84.31	Professional		$66.59	$84.31	$84.31