Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.08 / $98.08 / $118.09	Facility		$98.08	$98.08	$118.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $96.60 / $135.44	Professional		$62.47	$96.60	$135.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $211.18	Facility		$70.53	$70.53	$211.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.53 / $149.21 / $236.72	Professional		$70.53	$149.21	$236.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $16.32 / $16.73	Professional		$13.39	$16.32	$16.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $203.57 / $802.71	Facility		$24.56	$203.57	$802.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $93.77 / $231.95	Professional		$65.08	$93.77	$231.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $21.12 / $49.92	Facility		$18.63	$21.12	$49.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $23.28 / $49.92	Professional		$18.57	$23.28	$49.92
United Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $87.72 / $231.95	Professional		$78.09	$87.72	$231.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $172.78 / $172.78	Professional		$136.50	$172.78	$172.78