Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.38 / $108.15 / $108.15	Facility		$100.38	$108.15	$108.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $82.86 / $123.24	Professional		$62.07	$82.86	$123.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $169.10	Facility		$86.21	$86.21	$169.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $180.38 / $225.47	Professional		$86.21	$180.38	$225.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $137.62 / $155.65	Professional		$127.37	$137.62	$155.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $183.86 / $706.68	Facility		$96.58	$183.86	$706.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $79.55 / $209.61	Professional		$68.83	$79.55	$209.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.61 / $169.10 / $209.61	Facility		$168.61	$169.10	$209.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $197.55 / $323.18	Professional		$138.50	$197.55	$323.18
United Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $76.70 / $180.88	Professional		$68.22	$76.70	$180.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $150.66 / $150.66 / $150.66	Facility		$150.66	$150.66	$150.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $150.66 / $150.66	Professional		$119.02	$150.66	$150.66