Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.62 / $60.62 / $72.63	Facility		$60.62	$60.62	$72.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $55.67 / $83.25	Professional		$41.38	$55.67	$83.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $128.08	Facility		$60.80	$60.80	$128.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $105.00 / $131.25	Professional		$60.80	$105.00	$131.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $9.35 / $9.35	Professional		$8.61	$9.35	$9.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $158.55 / $436.04	Facility		$14.90	$158.55	$436.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $65.06 / $136.40	Professional		$47.77	$65.06	$136.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $12.80 / $30.26	Facility		$12.80	$12.80	$30.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $15.31 / $30.26	Professional		$12.72	$15.31	$30.26
United Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $56.91 / $136.40	Professional		$49.81	$56.91	$136.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.79 / $104.80 / $104.80	Professional		$82.79	$104.80	$104.80