Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $120.89 / $169.10	Facility		$62.14	$120.89	$169.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $47.85 / $47.85	Professional		$41.01	$47.85	$47.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.78 / $172.81 / $177.85	Facility		$167.78	$172.81	$177.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $112.93 / $141.16	Professional		$71.45	$112.93	$141.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $90.10 / $112.47	Professional		$52.82	$90.10	$112.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $80.19 / $244.34	Facility		$62.14	$80.19	$244.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $37.28 / $157.15	Professional		$37.28	$37.28	$157.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.62 / $113.64 / $172.81	Facility		$74.62	$113.64	$172.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $122.27 / $162.19	Professional		$74.56	$122.27	$162.19
United Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $37.28 / $135.47	Professional		$37.28	$37.28	$135.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $62.14 / $62.14	Professional		$49.09	$62.14	$62.14