Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.33 / $55.33 / $66.30	Facility		$55.33	$55.33	$66.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $49.61 / $76.01	Professional		$35.35	$49.61	$76.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $55.97 / $111.18	Facility		$55.97	$55.97	$111.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.97 / $100.50 / $128.38	Professional		$55.97	$100.50	$128.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.74 / $9.13	Professional		$8.24	$8.74	$9.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.31 / $133.38 / $401.40	Facility		$26.31	$133.38	$401.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $53.63 / $124.51	Professional		$41.89	$53.63	$124.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $11.13 / $26.31	Facility		$11.13	$11.13	$26.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $13.31 / $26.31	Professional		$11.05	$13.31	$26.31
United Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $49.36 / $124.51	Professional		$45.38	$49.36	$124.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.86 / $90.96 / $90.96	Professional		$71.86	$90.96	$90.96