Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $48.22 / $48.22	Facility		$41.88	$48.22	$48.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $34.57 / $53.52	Professional		$25.46	$34.57	$53.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $35.97 / $76.45	Facility		$35.97	$35.97	$76.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $66.75 / $83.44	Professional		$35.97	$66.75	$83.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.56 / $69.50 / $84.31	Professional		$57.56	$69.50	$84.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.32 / $89.30 / $306.17	Facility		$44.32	$89.30	$306.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $40.11 / $91.09	Professional		$32.40	$40.11	$91.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $76.45 / $91.62	Facility		$76.23	$76.45	$91.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $87.44 / $146.09	Professional		$61.58	$87.44	$146.09
United Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $35.02 / $74.83	Professional		$32.40	$35.02	$74.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $68.11 / $68.11 / $68.11	Facility		$68.11	$68.11	$68.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $68.11 / $68.11	Professional		$53.81	$68.11	$68.11