Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.61 / $54.61 / $64.06	Facility		$54.61	$54.61	$64.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $46.67 / $75.41	Professional		$30.55	$46.67	$75.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $105.94	Facility		$35.54	$35.54	$105.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $103.13 / $131.79	Professional		$35.54	$103.13	$131.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.74 / $8.90	Professional		$8.27	$8.74	$8.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $114.86 / $405.24	Facility		$24.88	$114.86	$405.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $47.00 / $123.49	Professional		$35.84	$47.00	$123.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.53 / $10.53 / $24.88	Facility		$10.53	$10.53	$24.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $12.58 / $24.88	Professional		$10.44	$12.58	$24.88
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $47.00 / $123.49	Professional		$39.40	$47.00	$123.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $86.68 / $86.68	Professional		$68.48	$86.68	$86.68