Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $134.41 / $987.62	Facility		$67.44	$134.41	$987.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $34.06 / $267.97	Professional		$34.06	$34.06	$267.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.34 / $135.28 / $139.22	Facility		$131.34	$135.28	$139.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $94.64 / $118.29	Professional		$85.40	$94.64	$118.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $54.33 / $135.61	Professional		$34.78	$54.33	$135.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.52 / $100.85 / $1,031.97	Facility		$53.52	$100.85	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $51.31 / $135.87	Professional		$38.70	$51.31	$135.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $87.89 / $139.22	Facility		$77.04	$87.89	$139.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $87.34 / $108.37	Professional		$60.54	$87.34	$108.37
United Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $43.21 / $75.28	Professional		$37.57	$43.21	$75.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $68.50 / $80.59	Professional		$54.12	$68.50	$80.59