Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.57 / $65.41 / $65.41	Facility		$57.57	$65.41	$65.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $41.91 / $65.98	Professional		$32.70	$41.91	$65.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.01 / $62.01 / $85.48	Facility		$62.01	$62.01	$85.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $90.38 / $112.97	Professional		$62.01	$90.38	$112.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.19 / $90.90 / $134.94	Professional		$74.19	$90.90	$134.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $101.02 / $335.46	Facility		$49.56	$101.02	$335.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.63 / $106.18	Professional		$37.15	$48.63	$106.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.24 / $85.48 / $106.00	Facility		$85.24	$85.48	$106.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $99.86 / $163.36	Professional		$70.02	$99.86	$163.36
United Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $46.42 / $52.45	Facility		$28.75	$46.42	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.22 / $101.85	Professional		$37.15	$40.22	$101.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $77.70 / $77.70	Facility		$77.70	$77.70	$77.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $77.70 / $77.70	Professional		$61.39	$77.70	$77.70