Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $72.44	Facility		$60.26	$60.26	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $83.18	Professional		$39.81	$52.48	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $123.03	Facility		$64.57	$64.57	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $112.20 / $141.25	Professional		$64.57	$112.20	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $9.55	Professional		$7.59	$9.55	$9.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $131.83 / $436.52	Facility		$12.02	$131.83	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $125.89	Professional		$36.31	$53.70	$125.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $281.84	Professional		$120.23	$141.25	$281.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $38.02 / $77.62	Facility		$4.90	$38.02	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $138.04	Professional		$46.77	$51.29	$138.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $97.72	Professional		$77.62	$97.72	$97.72