Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $68.98 / $78.69	Facility		$68.98	$68.98	$78.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $68.66 / $90.92	Professional		$31.74	$68.66	$90.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.99 / $118.99 / $118.99	Facility		$118.99	$118.99	$118.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.26 / $125.25 / $156.56	Professional		$76.26	$125.25	$156.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $122.89 / $139.38	Professional		$102.95	$122.89	$139.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.90 / $125.70 / $508.15	Facility		$73.90	$125.70	$508.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $55.76 / $147.77	Professional		$45.86	$55.76	$147.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.63 / $118.99 / $142.60	Facility		$118.63	$118.99	$142.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $135.21 / $227.36	Professional		$93.11	$135.21	$227.36
United Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $53.96 / $140.62	Professional		$45.86	$53.96	$140.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $102.76 / $102.76 / $102.76	Facility		$102.76	$102.76	$102.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $102.76 / $102.76	Professional		$81.18	$102.76	$102.76