Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $152.35 / $295.06	Facility		$79.39	$152.35	$295.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $166.68	Professional		$79.26	$79.26	$166.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $80.73 / $80.73	Facility		$80.73	$80.73	$80.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $78.41 / $98.02	Professional		$78.41	$78.41	$98.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $79.26 / $226.93	Professional		$55.80	$79.26	$226.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $91.47 / $118.50	Facility		$79.39	$91.47	$118.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $79.39 / $115.70	Professional		$79.39	$79.39	$115.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.93 / $115.70 / $181.26	Facility		$87.93	$115.70	$181.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $92.34 / $148.86	Professional		$83.60	$92.34	$148.86
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $80.84	Professional		$79.26	$79.26	$80.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $79.39 / $79.39	Facility		$79.39	$79.39	$79.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $79.39 / $79.39	Professional		$79.39	$79.39	$79.39