Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $168.20	Facility		$67.73	$67.73	$168.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $67.62 / $89.77	Professional		$32.78	$67.62	$89.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.27 / $116.27 / $116.27	Facility		$116.27	$116.27	$116.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $123.00 / $153.75	Professional		$74.88	$123.00	$153.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $123.59 / $184.80	Professional		$100.90	$123.59	$184.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $121.75 / $456.25	Facility		$72.23	$121.75	$456.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $56.08 / $144.40	Professional		$47.35	$56.08	$144.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.92 / $116.27 / $144.16	Facility		$115.92	$116.27	$144.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.22 / $135.81 / $222.18	Professional		$95.22	$135.81	$222.18
United Facility/Professional Professional Modifier Low / Median / High Price $46.36 / $52.73 / $144.40	Professional		$46.36	$52.73	$144.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $105.70 / $105.70 / $105.70	Facility		$105.70	$105.70	$105.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $105.70 / $105.70	Professional		$83.50	$105.70	$105.70