Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $114.82	Facility		$56.23	$56.23	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $57.54 / $6,025.60	Professional		$56.23	$57.54	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $72.44	Professional		$58.88	$58.88	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $125.89	Professional		$39.81	$58.88	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $85.11	Facility		$54.95	$56.23	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $89.13	Professional		$47.86	$56.23	$89.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $70.79	Professional		$60.26	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $58.88	Professional		$54.95	$57.54	$58.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23