Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.06 / $63.84 / $63.84	Facility		$56.06	$63.84	$63.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $40.88 / $64.39	Professional		$31.91	$40.88	$64.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $43.76 / $83.44	Facility		$43.76	$43.76	$83.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $88.50 / $110.63	Professional		$71.26	$88.50	$110.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $89.11 / $115.64	Professional		$72.41	$89.11	$115.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $98.61 / $354.84	Facility		$48.37	$98.61	$354.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $47.44 / $103.62	Professional		$36.26	$47.44	$103.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $83.44 / $103.41	Facility		$83.19	$83.44	$103.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $97.46 / $159.43	Professional		$68.31	$97.46	$159.43
United Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $39.10 / $89.25	Professional		$36.15	$39.10	$89.25
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $74.33 / $74.33	Facility		$74.33	$74.33	$74.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $74.33 / $74.33	Professional		$58.72	$74.33	$74.33