Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.71 / $62.71 / $77.58	Facility		$62.71	$62.71	$77.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $57.15 / $88.94	Professional		$40.72	$57.15	$88.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $66.39 / $130.76	Facility		$66.39	$66.39	$130.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.88 / $130.04 / $147.78	Professional		$115.88	$130.04	$147.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $9.88 / $9.99	Professional		$9.39	$9.88	$9.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $152.18 / $476.05	Facility		$30.42	$152.18	$476.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $58.08 / $145.69	Professional		$44.54	$58.08	$145.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $12.87 / $30.42	Facility		$12.87	$12.87	$30.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $15.38 / $30.42	Professional		$12.78	$15.38	$30.42
United Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $55.20 / $147.19	Professional		$48.26	$55.20	$147.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $106.98 / $106.98	Professional		$84.51	$106.98	$106.98