Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.68 / $77.68 / $91.94	Facility		$77.68	$77.68	$91.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $70.13 / $105.47	Professional		$39.36	$70.13	$105.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $139.01	Facility		$78.94	$78.94	$139.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $148.88 / $186.09	Professional		$97.75	$148.88	$186.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $12.85 / $12.85	Professional		$10.28	$12.85	$12.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $146.86 / $599.70	Facility		$32.86	$146.86	$599.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $63.04 / $172.65	Professional		$46.19	$63.04	$172.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $13.96 / $32.86	Facility		$13.90	$13.96	$32.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $16.66 / $32.86	Professional		$13.96	$16.66	$32.86
United Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $63.04 / $172.65	Professional		$53.36	$63.04	$172.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $113.73 / $113.73	Professional		$89.85	$113.73	$113.73