Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.34 / $62.34 / $74.70	Facility		$62.34	$62.34	$74.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $57.68 / $85.66	Professional		$37.63	$57.68	$85.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.38 / $66.38 / $127.13	Facility		$66.38	$66.38	$127.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $114.38 / $145.94	Professional		$66.38	$114.38	$145.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.97 / $10.26	Professional		$9.36	$9.97	$10.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $154.83 / $476.10	Facility		$30.06	$154.83	$476.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $60.53 / $140.30	Professional		$50.19	$60.53	$140.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $12.72 / $30.06	Facility		$12.72	$12.72	$30.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $15.20 / $30.06	Professional		$12.63	$15.20	$30.06
United Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $57.76 / $140.30	Professional		$51.22	$57.76	$140.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $82.17 / $104.01 / $104.01	Professional		$82.17	$104.01	$104.01