Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.31 / $110.31 / $132.21	Facility		$110.31	$110.31	$132.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $98.33 / $151.55	Professional		$67.03	$98.33	$151.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $150.72	Facility		$64.17	$64.17	$150.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $150.72 / $253.13	Professional		$14.75	$150.72	$253.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $17.42 / $275.22	Professional		$17.42	$17.42	$275.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $255.11 / $821.30	Facility		$25.60	$255.11	$821.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $98.40 / $199.99	Professional		$65.59	$98.40	$199.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $22.01 / $52.03	Facility		$22.01	$22.01	$52.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $26.31 / $52.03	Professional		$21.85	$26.31	$52.03
United Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $84.38 / $187.60	Professional		$65.59	$84.38	$187.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.27 / $180.09 / $180.09	Professional		$142.27	$180.09	$180.09