Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.34 / $100.34 / $100.34	Facility		$100.34	$100.34	$100.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $76.68 / $112.71	Professional		$65.84	$76.68	$112.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Facility		$50.00	$50.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $152.84 / $192.16	Professional		$101.84	$152.84	$192.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $101.25 / $239.62	Professional		$67.47	$101.25	$239.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.28 / $162.38 / $819.22	Facility		$78.28	$162.38	$819.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $153.44 / $330.96	Professional		$91.23	$153.44	$330.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $162.38 / $215.80	Facility		$139.63	$162.38	$215.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.21 / $153.46 / $207.27	Professional		$109.21	$153.46	$207.27
United Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $135.63 / $200.45	Professional		$78.40	$135.63	$200.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $146.90	Professional		$124.80	$124.80	$146.90