Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.29 / $95.29 / $114.85	Facility		$95.29	$95.29	$114.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $85.44 / $131.59	Professional		$68.50	$85.44	$131.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $96.60 / $209.44	Facility		$94.41	$96.60	$209.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $156.75 / $195.94	Professional		$96.60	$156.75	$195.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $13.37 / $24.20	Professional		$12.70	$13.37	$24.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $247.26 / $652.11	Facility		$24.44	$247.26	$652.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.19 / $96.76 / $220.40	Professional		$71.19	$96.76	$220.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $21.49 / $49.61	Facility		$20.99	$21.49	$49.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $26.60 / $49.61	Professional		$21.35	$26.60	$49.61
United Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $78.76 / $215.06	Professional		$78.53	$78.76	$215.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $171.36 / $171.36 / $171.36	Facility		$171.36	$171.36	$171.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.37 / $171.36 / $171.36	Professional		$135.37	$171.36	$171.36