Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $90.21 / $90.21	Facility		$70.84	$90.21	$90.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $61.18 / $112.40	Professional		$40.08	$61.18	$112.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $107.12	Facility		$83.99	$83.99	$107.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.99 / $150.38 / $187.97	Professional		$83.99	$150.38	$187.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $113.18 / $129.84	Professional		$95.10	$113.18	$129.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.18 / $125.13 / $528.70	Facility		$61.18	$125.13	$528.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $54.89 / $133.05	Professional		$46.55	$54.89	$133.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.12 / $108.63 / $147.93	Facility		$107.12	$108.63	$147.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $126.59 / $204.71	Professional		$87.72	$126.59	$204.71
United Facility/Professional Professional Modifier Low / Median / High Price $48.15 / $48.58 / $127.73	Professional		$48.15	$48.58	$127.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $95.43 / $95.43 / $95.43	Facility		$95.43	$95.43	$95.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.39 / $95.43 / $95.43	Professional		$75.39	$95.43	$95.43