Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $50.81 / $60.89	Facility		$50.81	$50.81	$60.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $46.62 / $69.84	Professional		$28.21	$46.62	$69.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $54.52 / $95.49	Facility		$54.52	$54.52	$95.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $96.38 / $120.47	Professional		$54.52	$96.38	$120.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $8.31 / $8.31	Professional		$7.89	$8.31	$8.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $120.93 / $391.25	Facility		$22.59	$120.93	$391.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $48.45 / $114.35	Professional		$38.40	$48.45	$114.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $9.56 / $22.59	Facility		$9.56	$9.56	$22.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $11.42 / $22.59	Professional		$9.48	$11.42	$22.59
United Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $45.23 / $114.35	Professional		$41.75	$45.23	$114.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $78.13 / $78.13	Professional		$61.72	$78.13	$78.13