Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.33 / $71.33 / $85.91	Facility		$71.33	$71.33	$85.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $61.99 / $98.51	Professional		$41.97	$61.99	$98.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $142.86	Facility		$73.04	$73.04	$142.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.04 / $132.38 / $168.80	Professional		$73.04	$132.38	$168.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $10.94 / $11.41	Professional		$10.39	$10.94	$11.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.77 / $157.78 / $523.65	Facility		$31.77	$157.78	$523.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $63.40 / $161.33	Professional		$49.24	$63.40	$161.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $14.65 / $31.77	Facility		$13.44	$14.65	$31.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $17.52 / $31.77	Professional		$14.56	$17.52	$31.77
United Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $44.77 / $77.41	Facility		$5.69	$44.77	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.77 / $63.40 / $161.33	Professional		$51.77	$63.40	$161.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $116.88 / $116.88	Professional		$92.34	$116.88	$116.88