Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.22 / $114.22 / $137.63	Facility		$114.22	$114.22	$137.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $102.56 / $157.72	Professional		$74.58	$102.56	$157.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $167.30	Facility		$129.12	$129.12	$167.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.12 / $202.50 / $258.24	Professional		$129.12	$202.50	$258.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $18.13 / $311.44	Professional		$18.13	$18.13	$311.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.74 / $290.58 / $911.54	Facility		$27.74	$290.58	$911.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $109.30 / $221.98	Professional		$72.86	$109.30	$221.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $23.85 / $56.37	Facility		$23.85	$23.85	$56.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $28.51 / $56.37	Professional		$23.69	$28.51	$56.37
United Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $106.97 / $208.85	Professional		$72.86	$106.97	$208.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $195.12 / $195.12	Professional		$154.13	$195.12	$195.12