Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $70.76 / $84.80	Facility		$70.76	$70.76	$84.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $63.82 / $97.24	Professional		$40.70	$63.82	$97.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $73.97 / $139.50	Facility		$73.97	$73.97	$139.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.97 / $97.09 / $165.47	Professional		$73.97	$97.09	$165.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $11.42 / $11.53	Professional		$10.85	$11.42	$11.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $150.47 / $530.95	Facility		$32.99	$150.47	$530.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $62.45 / $159.24	Professional		$47.76	$62.45	$159.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $13.96 / $32.99	Facility		$13.96	$13.96	$32.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $16.69 / $32.99	Professional		$13.85	$16.69	$32.99
United Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $61.89 / $159.24	Professional		$55.17	$61.89	$159.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.17 / $114.14 / $114.14	Professional		$90.17	$114.14	$114.14