Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $56.71 / $65.30	Facility		$56.71	$56.71	$65.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $49.92 / $78.31	Professional		$33.56	$49.92	$78.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $44.10 / $108.20	Facility		$44.10	$44.10	$108.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $105.00 / $131.25	Professional		$44.10	$105.00	$131.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $9.02 / $9.05	Professional		$8.57	$9.02	$9.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $115.83 / $402.15	Facility		$25.53	$115.83	$402.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $49.21 / $125.18	Professional		$39.36	$49.21	$125.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $11.68 / $25.53	Facility		$10.80	$11.68	$25.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $13.96 / $25.53	Professional		$11.59	$13.96	$25.53
United Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $48.00 / $125.18	Professional		$42.50	$48.00	$125.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $88.52 / $88.52	Professional		$69.93	$88.52	$88.52