Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.93 / $108.93 / $131.29	Facility		$108.93	$108.93	$131.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $92.91 / $145.52	Professional		$73.68	$92.91	$145.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.86 / $123.50 / $224.50	Facility		$117.86	$123.50	$224.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $179.25 / $227.65	Professional		$121.41	$179.25	$227.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $15.24 / $27.58	Professional		$14.48	$15.24	$27.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.14 / $263.26 / $725.63	Facility		$26.14	$263.26	$725.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $109.05 / $238.46	Professional		$78.36	$109.05	$238.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $22.46 / $53.09	Facility		$22.46	$22.46	$53.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $27.76 / $53.09	Professional		$22.31	$27.76	$53.09
United Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $99.82 / $238.46	Professional		$84.89	$99.82	$238.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $183.68 / $183.68 / $183.68	Facility		$183.68	$183.68	$183.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $183.68 / $183.68	Professional		$145.11	$183.68	$183.68