Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.01 / $70.04 / $70.04	Facility		$55.01	$70.04	$70.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $51.81 / $82.26	Professional		$31.12	$51.81	$82.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $92.83	Facility		$65.20	$65.20	$92.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $113.86 / $146.25	Professional		$65.20	$113.86	$146.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $92.88 / $100.82	Professional		$80.31	$92.88	$100.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $108.43 / $394.95	Facility		$53.01	$108.43	$394.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $43.60 / $115.29	Professional		$37.72	$43.60	$115.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $92.83 / $114.86	Facility		$92.55	$92.83	$114.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.02 / $108.43 / $177.37	Professional		$76.02	$108.43	$177.37
United Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $42.10 / $99.26	Professional		$37.39	$42.10	$99.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $82.70 / $82.70	Facility		$82.70	$82.70	$82.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $82.70 / $82.70	Professional		$65.33	$82.70	$82.70