Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $108.68 / $130.99	Facility		$108.68	$108.68	$130.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $101.00 / $150.08	Professional		$77.84	$101.00	$150.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $153.76	Facility		$110.00	$110.00	$153.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $187.50 / $234.38	Professional		$35.47	$187.50	$234.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $17.25 / $318.14	Professional		$17.25	$17.25	$318.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $282.79 / $801.83	Facility		$27.19	$282.79	$801.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.77 / $103.71 / $208.99	Professional		$66.77	$103.71	$208.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $23.36 / $55.22	Facility		$23.36	$23.36	$55.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $27.95 / $55.22	Professional		$23.21	$27.95	$55.22
United Facility/Professional Professional Modifier Low / Median / High Price $66.77 / $103.71 / $196.70	Professional		$66.77	$103.71	$196.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $191.16 / $191.16	Professional		$151.02	$191.16	$191.16