Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $55.89 / $67.31	Facility		$55.89	$55.89	$67.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $49.97 / $77.19	Professional		$33.56	$49.97	$77.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $112.49	Facility		$57.54	$57.54	$112.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $68.67 / $128.44	Professional		$11.54	$68.67	$128.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.88 / $9.05	Professional		$8.42	$8.88	$9.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $135.72 / $413.01	Facility		$26.62	$135.72	$413.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $52.78 / $126.41	Professional		$42.50	$52.78	$126.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $11.26 / $26.62	Facility		$11.26	$11.26	$26.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $13.46 / $26.62	Professional		$11.17	$13.46	$26.62
United Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $50.46 / $126.41	Professional		$45.68	$50.46	$126.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $92.03 / $92.03	Professional		$72.70	$92.03	$92.03