Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.29 / $115.66 / $140.76	Facility		$94.29	$115.66	$140.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $104.84 / $140.59	Professional		$63.68	$104.84	$140.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $64.88 / $64.88	Facility		$64.88	$64.88	$64.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $58.58 / $73.22	Professional		$58.58	$58.58	$73.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $84.17 / $179.37	Professional		$63.68	$84.17	$179.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $66.78 / $115.66	Facility		$62.47	$66.78	$115.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $68.97 / $85.47	Professional		$54.95	$68.97	$85.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.91 / $85.16 / $115.82	Facility		$62.91	$85.16	$115.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $65.86 / $86.27	Professional		$44.77	$65.86	$86.27
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $71.31 / $75.66	Professional		$63.68	$71.31	$75.66
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $62.47 / $62.47	Facility		$62.47	$62.47	$62.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $62.47 / $62.47	Professional		$62.47	$62.47	$62.47