Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.75 / $61.75 / $65.37	Facility		$61.75	$61.75	$65.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $47.68 / $79.80	Professional		$35.69	$47.68	$79.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $97.26	Facility		$49.61	$49.61	$97.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $103.13 / $128.91	Professional		$83.10	$103.13	$128.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $89.16 / $96.33	Professional		$84.00	$89.16	$96.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $113.62 / $413.81	Facility		$26.64	$113.62	$413.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $45.58 / $120.61	Professional		$39.25	$45.58	$120.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $97.26 / $120.61	Facility		$96.99	$97.26	$120.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.64 / $113.62 / $185.82	Professional		$79.64	$113.62	$185.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $44.11 / $104.02	Professional		$39.25	$44.11	$104.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Facility		$84.00	$84.00	$84.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $84.00 / $84.00	Professional		$66.36	$84.00	$84.00