Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.80 / $57.80 / $72.98	Facility		$57.80	$57.80	$72.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.34 / $53.96 / $79.77	Professional		$38.34	$53.96	$79.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.88 / $60.88 / $113.39	Facility		$60.88	$60.88	$113.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $108.75 / $139.00	Professional		$60.88	$108.75	$139.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $9.27 / $9.39	Professional		$8.81	$9.27	$9.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.20 / $142.19 / $436.55	Facility		$13.20	$142.19	$436.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $60.31 / $130.62	Professional		$44.81	$60.31	$130.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $11.35 / $26.83	Facility		$11.35	$11.35	$26.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $13.57 / $26.83	Professional		$11.28	$13.57	$26.83
United Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $56.95 / $130.62	Professional		$47.69	$56.95	$130.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $92.77 / $92.77	Professional		$73.29	$92.77	$92.77