Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $144.54 / $144.54	Facility		$97.72	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $181.97	Professional		$93.33	$107.15	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $64.57	Facility		$50.12	$50.12	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $281.84	Professional		$112.20	$223.87	$281.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $181.97	Professional		$89.13	$131.83	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $467.74	Facility		$97.72	$151.36	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $389.05	Professional		$91.20	$173.78	$389.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $257.04	Professional		$151.36	$213.80	$257.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $190.55	Professional		$151.36	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $112.20 / $165.96	Facility		$102.33	$112.20	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $158.49 / $275.42	Professional		$95.50	$158.49	$275.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $151.36	Professional		$128.82	$128.82	$151.36