Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.61 / $98.61 / $136.96	Facility		$98.61	$98.61	$136.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $97.04 / $140.87	Professional		$63.86	$97.04	$140.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $176.31	Facility		$98.45	$98.45	$176.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $186.00 / $232.50	Professional		$98.45	$186.00	$232.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $16.03 / $16.03	Professional		$15.23	$16.03	$16.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $258.08 / $752.92	Facility		$20.84	$258.08	$752.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $93.91 / $257.19	Professional		$73.17	$93.91	$257.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $17.63 / $21.13	Facility		$17.63	$17.63	$21.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $21.13 / $33.65	Professional		$18.28	$21.13	$33.65
United Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $66.52 / $119.74	Facility		$8.65	$66.52	$119.74
United Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $93.91 / $257.19	Professional		$79.81	$93.91	$257.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $144.25 / $144.25	Professional		$113.96	$144.25	$144.25