Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.65 / $80.65 / $106.32	Facility		$80.65	$80.65	$106.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $76.81 / $120.03	Professional		$48.08	$76.81	$120.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $96.42 / $146.77	Facility		$96.42	$96.42	$146.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $146.77 / $193.13	Professional		$96.42	$146.77	$193.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $13.41 / $14.55	Professional		$12.74	$13.41	$14.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $182.41 / $671.07	Facility		$34.86	$182.41	$671.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.41 / $72.12 / $182.31	Professional		$56.41	$72.12	$182.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $16.23 / $34.86	Facility		$14.75	$16.23	$34.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $19.45 / $34.86	Professional		$16.17	$19.45	$34.86
United Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $68.79 / $182.31	Professional		$63.79	$68.79	$182.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $120.09 / $120.09	Professional		$94.87	$120.09	$120.09