Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.12 / $82.38 / $177.43	Facility		$76.12	$82.38	$177.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $82.38 / $8,112.00	Professional		$50.74	$82.38	$8,112.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $51.71 / $51.71	Facility		$51.71	$51.71	$51.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $50.28 / $62.63	Professional		$50.10	$50.28	$62.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $70.22 / $149.66	Professional		$50.74	$70.22	$149.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $57.14 / $82.38	Facility		$49.00	$57.14	$82.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $56.48 / $80.86	Professional		$49.00	$56.48	$80.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $73.92 / $101.41	Facility		$49.00	$73.92	$101.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $57.14 / $80.86	Professional		$44.36	$57.14	$80.86
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $53.28 / $56.83	Professional		$50.74	$53.28	$56.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $50.43 / $50.43	Facility		$50.43	$50.43	$50.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $50.43 / $50.43	Professional		$50.43	$50.43	$50.43