Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.15 / $49.15 / $57.91	Facility		$49.15	$49.15	$57.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $44.98 / $66.42	Professional		$28.14	$44.98	$66.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $98.41	Facility		$46.80	$46.80	$98.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $92.25 / $115.31	Professional		$46.80	$92.25	$115.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $8.02 / $8.34	Professional		$7.54	$8.02	$8.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.27 / $104.08 / $380.20	Facility		$23.27	$104.08	$380.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $43.65 / $110.60	Professional		$33.02	$43.65	$110.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.85 / $23.27	Facility		$9.33	$9.85	$23.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $11.45 / $23.27	Professional		$9.32	$11.45	$23.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $41.73 / $110.60	Professional		$39.71	$41.73	$110.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.60 / $80.51 / $80.51	Professional		$63.60	$80.51	$80.51