Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.26 / $70.26 / $84.18	Facility		$70.26	$70.26	$84.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.77 / $64.59 / $96.53	Professional		$42.77	$64.59	$96.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $143.47	Facility		$74.67	$74.67	$143.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $128.25 / $163.91	Professional		$74.67	$128.25	$163.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $11.27 / $11.76	Professional		$10.53	$11.27	$11.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $158.07 / $535.95	Facility		$33.93	$158.07	$535.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $65.59 / $158.09	Professional		$50.18	$65.59	$158.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $14.36 / $33.93	Facility		$14.36	$14.36	$33.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $14.26 / $17.16 / $33.93	Professional		$14.26	$17.16	$33.93
United Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $63.67 / $158.09	Professional		$56.68	$63.67	$158.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $117.39 / $117.39	Professional		$92.74	$117.39	$117.39