Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $63.50 / $76.06	Facility		$63.50	$63.50	$76.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.81 / $58.11 / $87.19	Professional		$44.81	$58.11	$87.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $132.15	Facility		$60.78	$60.78	$132.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.50 / $122.98 / $139.75	Professional		$109.50	$122.98	$139.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $9.36 / $9.63	Professional		$8.90	$9.36	$9.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $164.28 / $435.85	Facility		$31.25	$164.28	$435.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $68.91 / $142.86	Professional		$48.68	$68.91	$142.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $13.22 / $31.25	Facility		$13.22	$13.22	$31.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $15.81 / $31.25	Professional		$13.13	$15.81	$31.25
United Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $67.23 / $152.29	Professional		$51.48	$67.23	$152.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $108.13 / $108.13	Professional		$85.42	$108.13	$108.13