Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $91.67 / $104.91	Facility		$91.67	$91.67	$104.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.23 / $82.83 / $126.76	Professional		$62.23	$82.83	$126.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $116.95	Facility		$80.29	$80.29	$116.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $153.75 / $192.19	Professional		$11.49	$153.75	$192.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $150.00 / $183.54	Professional		$14.57	$150.00	$183.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $155.84 / $637.21	Facility		$19.67	$155.84	$637.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $68.56 / $155.16	Professional		$45.76	$68.56	$155.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $46.49	Facility		$19.67	$19.67	$46.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $24.31 / $46.49	Professional		$19.54	$24.31	$46.49
United Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $67.12 / $141.56	Professional		$45.76	$67.12	$141.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $160.91 / $160.91	Facility		$160.91	$160.91	$160.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.13 / $160.91 / $160.91	Professional		$127.13	$160.91	$160.91