Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.31 / $49.31 / $59.36	Facility		$49.31	$49.31	$59.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $45.24 / $68.09	Professional		$25.51	$45.24	$68.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $54.06 / $91.29	Facility		$54.06	$54.06	$91.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $96.00 / $174.75	Professional		$54.06	$96.00	$174.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $8.27 / $8.27	Professional		$7.83	$8.27	$8.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.55 / $111.26 / $387.88	Facility		$21.55	$111.26	$387.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $44.57 / $111.47	Professional		$34.72	$44.57	$111.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $9.11 / $21.55	Facility		$9.11	$9.11	$21.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $10.91 / $21.55	Professional		$9.06	$10.91	$21.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $42.06 / $111.47	Professional		$39.82	$42.06	$111.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $74.69 / $74.69	Professional		$59.01	$74.69	$74.69