Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $56.87 / $93.51	Facility		$56.87	$56.87	$93.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $56.38 / $80.23	Professional		$33.46	$56.38	$80.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $115.51	Facility		$67.20	$67.20	$115.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $97.15 / $121.44	Professional		$67.20	$97.15	$121.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $74.11 / $114.90	Professional		$63.23	$74.11	$114.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $136.51 / $324.51	Facility		$56.38	$136.51	$324.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $67.62 / $173.88	Professional		$51.83	$67.62	$173.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $116.00 / $151.19	Facility		$115.51	$116.00	$151.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $136.51 / $241.74	Professional		$115.51	$136.51	$241.74
United Facility/Professional Facility Modifier Low / Median / High Price $149.47 / $149.47 / $242.89	Facility		$149.47	$149.47	$242.89
United Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $67.62 / $173.88	Professional		$51.37	$67.62	$173.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $102.91 / $102.91 / $102.91	Facility		$102.91	$102.91	$102.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $102.91 / $102.91	Professional		$81.30	$102.91	$102.91