Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $125.89	Facility		$89.13	$89.13	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $162.18	Professional		$89.13	$128.82	$162.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $199.53	Professional		$97.72	$141.25	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $257.04 / $257.04	Facility		$60.26	$257.04	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $169.82	Professional		$85.11	$169.82	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91