Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.31 / $86.31 / $103.44	Facility		$86.31	$86.31	$103.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $77.97 / $118.62	Professional		$51.45	$77.97	$118.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.31 / $90.31 / $173.39	Facility		$90.31	$90.31	$173.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $159.00 / $203.25	Professional		$90.31	$159.00	$203.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.73 / $14.01	Professional		$13.04	$13.73	$14.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $210.90 / $647.76	Facility		$41.00	$210.90	$647.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.91 / $82.76 / $194.26	Professional		$68.91	$82.76	$194.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $17.35 / $41.00	Facility		$17.35	$17.35	$41.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $20.74 / $41.00	Professional		$17.21	$20.74	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $80.40 / $194.26	Professional		$70.93	$80.40	$194.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $141.87 / $141.87	Professional		$112.08	$141.87	$141.87