Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $42.34 / $42.34	Facility		$37.19	$42.34	$42.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $27.14 / $42.74	Professional		$21.18	$27.14	$42.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.14 / $40.14 / $55.37	Facility		$40.14	$40.14	$55.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $58.50 / $73.13	Professional		$40.14	$58.50	$73.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $58.87 / $100.77	Professional		$48.01	$58.87	$100.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $65.44 / $235.45	Facility		$32.10	$65.44	$235.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $31.48 / $68.78	Professional		$24.07	$31.48	$68.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.21 / $55.37 / $68.62	Facility		$55.21	$55.37	$68.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $64.68 / $105.85	Professional		$45.36	$64.68	$105.85
United Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $26.05 / $59.25	Professional		$23.23	$26.05	$59.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Facility		$49.33	$49.33	$49.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $49.33 / $49.33	Professional		$38.97	$49.33	$49.33