Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $57.54	Facility		$48.98	$48.98	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $66.07	Professional		$33.88	$43.65	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $117.49	Professional		$46.77	$93.33	$117.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.94 / $8.32	Professional		$6.61	$7.94	$8.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $104.71 / $380.19	Facility		$11.48	$104.71	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $102.33	Professional		$30.20	$43.65	$102.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $234.42	Professional		$97.72	$114.82	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $28.84 / $63.10	Facility		$3.39	$28.84	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $109.65	Professional		$36.31	$41.69	$109.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $81.28	Professional		$63.10	$81.28	$81.28