Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.27 / $61.27 / $75.15	Facility		$61.27	$61.27	$75.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $55.76 / $84.17	Professional		$32.97	$55.76	$84.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.82 / $111.82 / $111.82	Facility		$111.82	$111.82	$111.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $118.50 / $148.13	Professional		$72.05	$118.50	$148.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $102.18 / $112.47	Professional		$93.69	$102.18	$112.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $130.61 / $476.75	Facility		$72.45	$130.61	$476.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $52.40 / $138.88	Professional		$45.64	$52.40	$138.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.49 / $111.82 / $138.97	Facility		$111.49	$111.82	$138.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $130.61 / $213.68	Professional		$91.58	$130.61	$213.68
United Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $50.71 / $132.83	Professional		$45.23	$50.71	$132.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $99.62 / $99.62 / $99.62	Facility		$99.62	$99.62	$99.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $99.62 / $99.62	Professional		$78.70	$99.62	$99.62