Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.25 / $90.25 / $108.66	Facility		$90.25	$90.25	$108.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $80.75 / $124.63	Professional		$49.09	$80.75	$124.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $173.94	Facility		$93.52	$93.52	$173.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $172.50 / $220.06	Professional		$93.52	$172.50	$220.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.87 / $15.12	Professional		$14.13	$14.87	$15.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $221.38 / $671.25	Facility		$41.11	$221.38	$671.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $76.98 / $204.05	Professional		$57.60	$76.98	$204.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $17.39 / $41.11	Facility		$17.39	$17.39	$41.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $20.78 / $41.11	Professional		$17.25	$20.78	$41.11
United Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $77.15 / $204.05	Professional		$62.84	$77.15	$204.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $142.32 / $142.32	Professional		$112.43	$142.32	$142.32