Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $66.07	Facility		$54.95	$54.95	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $75.86	Professional		$35.48	$47.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $74.13	Facility		$56.23	$56.23	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $102.33 / $128.82	Professional		$56.23	$102.33	$128.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $9.12	Professional		$7.24	$8.71	$9.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $138.04 / $398.11	Facility		$12.88	$138.04	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $114.82	Professional		$41.69	$52.48	$114.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $263.03	Professional		$112.20	$128.82	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $37.15 / $69.18	Facility		$4.57	$37.15	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $125.89	Professional		$45.71	$48.98	$125.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $91.20	Professional		$72.44	$91.20	$91.20