Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $79.43	Facility		$66.07	$66.07	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $91.20	Professional		$45.71	$57.54	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $141.25	Facility		$66.07	$66.07	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $147.91	Professional		$66.07	$117.49	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.00 / $10.47	Professional		$8.32	$10.00	$10.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $173.78 / $478.63	Facility		$16.22	$173.78	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $151.36	Professional		$51.29	$69.18	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $331.13	Professional		$138.04	$162.18	$331.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $45.71 / $87.10	Facility		$5.62	$45.71	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $151.36	Professional		$54.95	$58.88	$151.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $114.82	Professional		$89.13	$114.82	$114.82