Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $84.01 / $101.17	Facility		$84.01	$84.01	$101.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $77.09 / $116.01	Professional		$48.44	$77.09	$116.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $167.51	Facility		$88.16	$88.16	$167.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $157.13 / $196.41	Professional		$88.16	$157.13	$196.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $13.72 / $14.44	Professional		$12.86	$13.72	$14.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $201.95 / $632.74	Facility		$39.61	$201.95	$632.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $77.93 / $189.99	Professional		$65.86	$77.93	$189.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $16.76 / $39.61	Facility		$16.76	$16.76	$39.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $20.03 / $39.61	Professional		$16.64	$20.03	$39.61
United Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $74.31 / $189.99	Professional		$66.97	$74.31	$189.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $137.05 / $137.05	Professional		$108.27	$137.05	$137.05