Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $42.91	Facility		$35.79	$35.79	$42.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $32.84 / $49.22	Professional		$19.52	$32.84	$49.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $38.63 / $66.89	Facility		$38.63	$38.63	$66.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $66.89 / $85.31	Professional		$38.63	$66.89	$85.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.89 / $5.89	Professional		$5.60	$5.89	$5.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $91.52 / $277.14	Facility		$15.78	$91.52	$277.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $33.54 / $80.58	Professional		$26.57	$33.54	$80.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $6.68 / $15.78	Facility		$6.68	$6.68	$15.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $7.99 / $15.78	Professional		$6.63	$7.99	$15.78
United Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $31.88 / $80.58	Professional		$28.99	$31.88	$80.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $54.73 / $54.73	Professional		$43.24	$54.73	$54.73