Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Facility		$50.12	$50.12	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $45.71 / $69.18	Professional		$29.51	$45.71	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Facility		$54.95	$54.95	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $123.03	Professional		$54.95	$97.72	$123.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.32 / $8.32	Professional		$7.94	$8.32	$8.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $128.82 / $389.05	Facility		$11.22	$128.82	$389.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $104.71	Professional		$34.67	$45.71	$104.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $223.87	Professional		$95.50	$112.20	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $33.11 / $63.10	Facility		$3.89	$33.11	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $114.82	Professional		$41.69	$45.71	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $77.62	Professional		$61.66	$77.62	$77.62