Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $47.13 / $47.13	Facility		$36.52	$47.13	$47.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $30.14 / $52.90	Professional		$22.41	$30.14	$52.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $55.35	Facility		$34.77	$34.77	$55.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $65.25 / $81.56	Professional		$52.63	$65.25	$81.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $58.98 / $79.38	Professional		$48.81	$58.98	$79.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $66.34 / $268.63	Facility		$32.09	$66.34	$268.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $33.39 / $68.75	Professional		$24.88	$33.39	$68.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.19 / $55.35 / $76.26	Facility		$55.19	$55.35	$76.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $65.42 / $105.78	Professional		$45.34	$65.42	$105.78
United Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $28.94 / $65.95	Professional		$24.88	$28.94	$65.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $49.31 / $49.31 / $49.31	Facility		$49.31	$49.31	$49.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $49.31 / $49.31	Professional		$38.95	$49.31	$49.31