Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.90 / $46.77	Facility		$36.31	$38.90	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $52.48	Professional		$23.99	$28.18	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $56.23	Facility		$34.67	$34.67	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $81.28	Professional		$34.67	$64.57	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $79.43	Professional		$47.86	$58.88	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $269.15	Facility		$34.67	$66.07	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $85.11	Professional		$25.12	$36.31	$85.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $75.86	Professional		$54.95	$57.54	$75.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $85.11	Professional		$57.54	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $38.90 / $81.28	Facility		$24.55	$38.90	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $46.77	Professional		$25.12	$26.92	$46.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $48.98	Professional		$38.90	$48.98	$48.98