Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.65 / $80.65 / $105.86	Facility		$80.65	$80.65	$105.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $76.23 / $119.50	Professional		$48.08	$76.23	$119.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $146.77	Facility		$57.76	$57.76	$146.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.76 / $146.77 / $193.13	Professional		$57.76	$146.77	$193.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $13.41 / $14.46	Professional		$12.74	$13.41	$14.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $177.28 / $652.16	Facility		$34.86	$177.28	$652.16
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 / $19.44 / $34.86	Professional		$16.17	$19.44	$34.86
United Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $72.12 / $182.31	Professional		$63.79	$72.12	$182.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $120.09 / $120.09	Professional		$94.87	$120.09	$120.09