Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $61.93 / $61.93	Facility		$42.60	$61.93	$61.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $36.59 / $65.62	Professional		$31.63	$36.59	$65.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $64.39	Facility		$37.25	$37.25	$64.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $85.88 / $107.34	Professional		$37.25	$85.88	$107.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $73.93 / $83.78	Professional		$57.06	$73.93	$83.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.33 / $77.18 / $304.39	Facility		$37.33	$77.18	$304.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $38.94 / $79.98	Professional		$28.95	$38.94	$79.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $64.39 / $88.94	Facility		$64.20	$64.39	$88.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $76.09 / $123.08	Professional		$52.74	$76.09	$123.08
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $35.61 / $76.73	Professional		$28.95	$35.61	$76.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $57.37 / $57.37	Facility		$57.37	$57.37	$57.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $57.37 / $57.37	Professional		$45.32	$57.37	$57.37