Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.04 / $77.04 / $171.06	Facility		$77.04	$77.04	$171.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $77.39 / $184.68	Professional		$77.04	$77.39	$184.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $78.86 / $78.86	Facility		$78.86	$78.86	$78.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $78.75 / $98.44	Professional		$78.75	$78.75	$98.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $77.39 / $135.94	Professional		$55.10	$77.39	$135.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.09 / $91.96 / $119.04	Facility		$52.09	$91.96	$119.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $86.54 / $103.52	Professional		$77.27	$86.54	$103.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $92.76 / $142.27	Facility		$45.97	$92.76	$142.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $91.67 / $114.95	Professional		$58.86	$91.67	$114.95
United Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $86.68 / $86.68	Professional		$77.39	$86.68	$86.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $77.27 / $77.27	Facility		$77.27	$77.27	$77.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.27 / $77.27 / $77.27	Professional		$77.27	$77.27	$77.27