Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $117.49 / $169.82	Facility		$46.77	$117.49	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $74.13	Professional		$40.74	$48.98	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $177.83	Facility		$165.96	$173.78	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $147.91	Professional		$89.13	$120.23	$147.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $151.36	Professional		$52.48	$81.28	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $74.13 / $165.96	Facility		$61.66	$74.13	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $144.54	Professional		$37.15	$37.15	$144.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $138.04	Facility		$61.66	$61.66	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $134.90	Professional		$37.15	$37.15	$134.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $61.66	Professional		$48.98	$61.66	$61.66