Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $63.28 / $75.83	Facility		$63.28	$63.28	$75.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $57.83 / $86.94	Professional		$39.53	$57.83	$86.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $129.59	Facility		$65.95	$65.95	$129.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $114.38 / $145.99	Professional		$65.95	$114.38	$145.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.99 / $10.33	Professional		$9.36	$9.99	$10.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $152.40 / $473.38	Facility		$30.60	$152.40	$473.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $62.17 / $142.40	Professional		$49.87	$62.17	$142.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $12.95 / $30.60	Facility		$12.95	$12.95	$30.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $15.48 / $30.60	Professional		$12.86	$15.48	$30.60
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $53.73 / $142.40	Professional		$52.00	$53.73	$142.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $106.03 / $106.03	Professional		$83.76	$106.03	$106.03