Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.76 / $272.51 / $272.51	Facility		$95.76	$272.51	$272.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $113.85 / $158.84	Professional		$96.92	$113.85	$158.84
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 $139.00 / $218.44 / $273.05	Professional		$139.00	$218.44	$273.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $126.00 / $173.34	Professional		$80.34	$126.00	$173.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.84 / $172.83 / $472.31	Facility		$98.84	$172.83	$472.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.02 / $188.28 / $324.91	Professional		$98.02	$188.28	$324.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $212.46 / $256.77	Facility		$139.00	$212.46	$256.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $206.78 / $258.20	Professional		$127.00	$206.78	$258.20
United Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $167.70 / $277.39	Professional		$104.81	$167.70	$277.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $129.90 / $129.90 / $152.90	Professional		$129.90	$129.90	$152.90