Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $49.09 / $57.65	Facility		$49.09	$49.09	$57.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $43.97 / $67.79	Professional		$34.21	$43.97	$67.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $43.29 / $114.63	Facility		$43.29	$43.29	$114.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $74.61 / $94.25	Professional		$43.29	$74.61	$94.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $6.41 / $6.87	Professional		$6.04	$6.41	$6.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $137.81 / $310.56	Facility		$26.23	$137.81	$310.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $61.73 / $118.88	Professional		$39.97	$61.73	$118.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $11.10 / $26.23	Facility		$11.10	$11.10	$26.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $13.27 / $26.23	Professional		$11.03	$13.27	$26.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $51.06 / $111.18	Professional		$40.60	$51.06	$111.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $93.79 / $93.79	Professional		$74.09	$93.79	$93.79