Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.52 / $88.52 / $167.68	Facility		$88.52	$88.52	$167.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $88.52 / $141.82	Professional		$75.86	$88.52	$141.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $77.29 / $77.29	Facility		$77.29	$77.29	$77.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.61 / $73.61 / $92.02	Professional		$73.61	$73.61	$92.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $75.86 / $286.56	Professional		$65.91	$75.86	$286.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $82.91 / $94.19	Facility		$72.98	$82.91	$94.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $75.86 / $102.85	Professional		$58.73	$75.86	$102.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $106.19 / $144.91	Facility		$72.98	$106.19	$144.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $82.60 / $108.68	Professional		$37.74	$82.60	$108.68
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $78.14	Professional		$75.86	$75.86	$78.14
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86