Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $60.45 / $72.80	Facility		$60.45	$60.45	$72.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $52.63 / $83.48	Professional		$34.22	$52.63	$83.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $120.37	Facility		$64.23	$64.23	$120.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $120.37 / $141.75	Professional		$111.00	$120.37	$141.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $9.47 / $9.58	Professional		$7.66	$9.47	$9.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $131.47 / $433.65	Facility		$14.00	$131.47	$433.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $55.91 / $136.71	Professional		$40.64	$55.91	$136.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $12.03 / $28.44	Facility		$12.03	$12.03	$28.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $14.39 / $28.44	Professional		$11.95	$14.39	$28.44
United Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $52.83 / $136.71	Professional		$46.76	$52.83	$136.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $98.49 / $98.49	Professional		$77.81	$98.49	$98.49