Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $62.33 / $62.33	Facility		$46.67	$62.33	$62.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $38.54 / $65.98	Professional		$32.01	$38.54	$65.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $70.56	Facility		$48.15	$48.15	$70.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $86.25 / $107.81	Professional		$48.15	$86.25	$107.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $78.50 / $119.28	Professional		$62.23	$78.50	$119.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.90 / $83.69 / $346.37	Facility		$40.90	$83.69	$346.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $42.67 / $87.65	Professional		$31.72	$42.67	$87.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $71.56 / $97.46	Facility		$70.56	$71.56	$97.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $83.40 / $134.87	Professional		$57.80	$83.40	$134.87
United Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $39.03 / $84.07	Professional		$31.72	$39.03	$84.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $62.87	Facility		$62.87	$62.87	$62.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $62.87 / $62.87	Professional		$49.67	$62.87	$62.87