Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $46.30 / $46.30	Facility		$40.22	$46.30	$46.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $33.20 / $46.46	Professional		$23.03	$33.20	$46.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $34.54 / $60.80	Facility		$34.54	$34.54	$60.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $64.13 / $80.16	Professional		$34.54	$64.13	$80.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $65.86 / $79.06	Professional		$53.61	$65.86	$79.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $71.84 / $279.95	Facility		$35.25	$71.84	$279.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $36.77 / $75.52	Professional		$27.33	$36.77	$75.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.62 / $60.80 / $83.96	Facility		$60.62	$60.80	$83.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $71.84 / $116.19	Professional		$49.80	$71.84	$116.19
United Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $29.33 / $65.06	Professional		$27.33	$29.33	$65.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $54.16 / $54.16 / $54.16	Facility		$54.16	$54.16	$54.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $54.16 / $54.16	Professional		$42.79	$54.16	$54.16