Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $39.60 / $39.60	Facility		$34.77	$39.60	$39.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $25.43 / $39.96	Professional		$19.80	$25.43	$39.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $51.74	Facility		$30.59	$30.59	$51.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $54.75 / $68.44	Professional		$30.59	$54.75	$68.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.23 / $47.28 / $53.10	Professional		$44.23	$47.28	$53.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $62.06 / $220.66	Facility		$31.01	$62.06	$220.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $31.30 / $64.28	Professional		$22.49	$31.30	$64.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $64.31	Facility		$51.74	$51.74	$64.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $60.91 / $98.90	Professional		$42.40	$60.91	$98.90
United Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $110.08	Facility		$67.73	$67.73	$110.08
United Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $23.47 / $40.29	Professional		$23.26	$23.47	$40.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $46.10 / $46.10	Facility		$46.10	$46.10	$46.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $46.10 / $46.10	Professional		$36.42	$46.10	$46.10