Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $89.13	Facility		$61.66	$61.66	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $109.65	Professional		$41.69	$61.66	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $109.65	Facility		$83.18	$83.18	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $186.21	Professional		$83.18	$151.36	$186.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $128.82	Professional		$95.50	$112.20	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $125.89 / $524.81	Facility		$66.07	$125.89	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $186.21	Professional		$46.77	$61.66	$186.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $147.91	Professional		$107.15	$112.20	$147.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $162.18	Professional		$112.20	$162.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $72.44 / $158.49	Facility		$37.15	$72.44	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.98 / $93.33	Professional		$45.71	$48.98	$93.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $95.50	Professional		$75.86	$95.50	$95.50