Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.58 / $89.61 / $89.61	Facility		$88.58	$89.61	$89.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $73.12 / $125.95	Professional		$55.59	$73.12	$125.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $177.62	Facility		$77.09	$77.09	$177.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $149.63 / $187.03	Professional		$77.09	$149.63	$187.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $135.07 / $161.47	Professional		$128.96	$135.07	$161.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.84 / $185.95 / $645.14	Facility		$79.84	$185.95	$645.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.74 / $80.56 / $211.80	Professional		$60.74	$80.56	$211.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $177.10 / $177.62 / $212.88	Facility		$177.10	$177.62	$212.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.75 / $191.28 / $339.41	Professional		$139.75	$191.28	$339.41
United Facility/Professional Professional Modifier Low / Median / High Price $60.19 / $80.56 / $167.65	Professional		$60.19	$80.56	$167.65
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $158.24 / $158.24 / $158.24	Facility		$158.24	$158.24	$158.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $158.24 / $158.24	Professional		$125.01	$158.24	$158.24