Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $98.44 / $179.61	Facility		$69.73	$98.44	$179.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $98.44	Professional		$69.73	$69.73	$98.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $95.63 / $95.63	Facility		$95.63	$95.63	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $95.40 / $101.25	Professional		$81.00	$95.40	$101.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $130.02 / $297.30	Professional		$69.73	$130.02	$297.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $119.83 / $350.53	Facility		$82.37	$119.83	$350.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $82.37 / $135.35	Professional		$32.95	$82.37	$135.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $98.84 / $141.66	Facility		$67.00	$98.84	$141.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.03 / $104.29 / $241.92	Professional		$70.03	$104.29	$241.92
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $69.73 / $113.90	Professional		$27.89	$69.73	$113.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $82.37 / $82.37 / $82.37	Facility		$82.37	$82.37	$82.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $82.37 / $90.14	Professional		$71.20	$82.37	$90.14