Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $60.26 / $64.57	Facility		$57.54	$60.26	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $64.57	Professional		$33.11	$39.81	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $87.10	Facility		$61.66	$61.66	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $112.20	Professional		$61.66	$91.20	$112.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $134.90	Professional		$74.13	$112.20	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $338.84	Facility		$53.70	$100.00	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $128.82	Professional		$37.15	$52.48	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $107.15	Professional		$85.11	$89.13	$107.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $128.82	Professional		$79.43	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $114.82	Facility		$45.71	$57.54	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $39.81 / $70.79	Professional		$35.48	$39.81	$70.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $77.62	Professional		$61.66	$77.62	$77.62