Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.68 / $82.68 / $99.06	Facility		$82.68	$82.68	$99.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.52 / $76.28 / $113.55	Professional		$55.52	$76.28	$113.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $171.45	Facility		$81.17	$81.17	$171.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $144.38 / $302.63	Professional		$81.17	$144.38	$302.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $12.56 / $12.56	Professional		$10.05	$12.56	$12.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.53 / $199.86 / $582.10	Facility		$40.53	$199.86	$582.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $87.31 / $186.03	Professional		$61.84	$87.31	$186.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $17.14 / $40.53	Facility		$17.14	$17.14	$40.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $20.49 / $40.53	Professional		$17.04	$20.49	$40.53
United Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $82.45 / $186.03	Professional		$66.63	$82.45	$186.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $110.81 / $140.27 / $140.27	Professional		$110.81	$140.27	$140.27