Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.11 / $49.63 / $49.63	Facility		$43.11	$49.63	$49.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $35.59 / $65.41	Professional		$26.46	$35.59	$65.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $65.18	Facility		$37.03	$37.03	$65.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $68.63 / $85.78	Professional		$37.03	$68.63	$85.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $76.67 / $92.04	Professional		$57.47	$76.67	$92.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $78.16 / $321.47	Facility		$37.79	$78.16	$321.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $39.42 / $80.95	Professional		$29.30	$39.42	$80.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $65.18 / $90.02	Facility		$64.98	$65.18	$90.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $76.14 / $124.55	Professional		$53.39	$76.14	$124.55
United Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $36.04 / $77.66	Professional		$29.30	$36.04	$77.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $58.07 / $58.07	Facility		$58.07	$58.07	$58.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $58.07 / $58.07	Professional		$45.88	$58.07	$58.07