Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $112.06	Facility		$93.52	$93.52	$112.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $85.48 / $128.51	Professional		$56.02	$85.48	$128.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $190.49	Facility		$100.30	$100.30	$190.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $172.13 / $215.16	Professional		$100.30	$172.13	$215.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $14.84 / $16.00	Professional		$12.80	$14.84	$16.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $226.99 / $719.88	Facility		$45.01	$226.99	$719.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.65 / $90.13 / $210.44	Professional		$75.65	$90.13	$210.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $19.04 / $45.01	Facility		$19.04	$19.04	$45.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $22.76 / $45.01	Professional		$18.89	$22.76	$45.01
United Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $84.52 / $210.44	Professional		$76.84	$84.52	$210.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $155.85 / $155.85	Professional		$123.12	$155.85	$155.85