Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.14 / $84.14 / $101.36	Facility		$84.14	$84.14	$101.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $76.31 / $116.19	Professional		$57.97	$76.31	$116.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $174.20	Facility		$81.62	$81.62	$174.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $147.75 / $188.66	Professional		$81.62	$147.75	$188.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $12.52 / $12.83	Professional		$11.89	$12.52	$12.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $218.92 / $585.33	Facility		$41.18	$218.92	$585.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $87.94 / $200.29	Professional		$63.90	$87.94	$200.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $17.42 / $41.18	Facility		$17.42	$17.42	$41.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $20.83 / $41.18	Professional		$17.30	$20.83	$41.18
United Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $83.05 / $190.35	Professional		$69.20	$83.05	$190.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $142.52 / $142.52	Professional		$112.59	$142.52	$142.52