Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $75.04 / $104.96	Facility		$38.57	$75.04	$104.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $29.70 / $104.25	Professional		$25.46	$29.70	$104.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.15 / $107.27 / $110.40	Facility		$104.15	$107.27	$110.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $69.84 / $87.31	Professional		$44.19	$69.84	$87.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.43 / $57.86 / $245.03	Professional		$42.43	$57.86	$245.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $49.77 / $151.66	Facility		$38.57	$49.77	$151.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $97.54	Professional		$23.14	$23.14	$97.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $70.54 / $151.66	Facility		$46.32	$70.54	$151.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $70.54 / $100.67	Professional		$46.28	$70.54	$100.67
United Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Facility		$38.57	$38.57	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $84.08	Professional		$23.14	$23.14	$84.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.47 / $38.57 / $38.57	Professional		$30.47	$38.57	$38.57