Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.27 / $57.27 / $72.08	Facility		$57.27	$57.27	$72.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $52.74 / $82.60	Professional		$43.03	$52.74	$82.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $116.70	Facility		$57.45	$57.45	$116.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $101.51 / $128.31	Professional		$57.45	$101.51	$128.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.56 / $9.07	Professional		$8.13	$8.56	$9.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.56 / $144.41 / $411.79	Facility		$29.56	$144.41	$411.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $64.37 / $128.12	Professional		$46.78	$64.37	$128.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $13.82 / $29.56	Facility		$12.51	$13.82	$29.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $16.52 / $29.56	Professional		$13.72	$16.52	$29.56
United Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $62.38 / $128.12	Professional		$46.78	$62.38	$128.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $95.48 / $95.48	Professional		$75.43	$95.48	$95.48