Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.91 / $47.91 / $57.41	Facility		$47.91	$47.91	$57.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $42.94 / $65.81	Professional		$29.85	$42.94	$65.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $96.72	Facility		$48.69	$48.69	$96.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $86.63 / $108.28	Professional		$48.69	$86.63	$108.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $7.49 / $7.88	Professional		$6.30	$7.49	$7.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $114.86 / $349.46	Facility		$22.83	$114.86	$349.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $46.94 / $107.81	Professional		$36.77	$46.94	$107.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $9.66 / $22.83	Facility		$9.66	$9.66	$22.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $11.54 / $22.83	Professional		$9.58	$11.54	$22.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $42.95 / $107.81	Professional		$39.36	$42.95	$107.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $79.14 / $79.14	Professional		$62.52	$79.14	$79.14