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 $36.36 / $52.63 / $83.48	Professional		$36.36	$52.63	$83.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $120.37	Facility		$60.46	$60.46	$120.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $111.00 / $141.75	Professional		$60.46	$111.00	$141.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $9.47 / $9.58	Professional		$9.00	$9.47	$9.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.44 / $141.69 / $433.65	Facility		$28.44	$141.69	$433.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $57.19 / $136.71	Professional		$46.76	$57.19	$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 $49.51 / $57.19 / $142.26	Professional		$49.51	$57.19	$142.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $98.49 / $98.49	Professional		$77.81	$98.49	$98.49