Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.38 / $90.67 / $90.67	Facility		$78.38	$90.67	$90.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $67.06 / $100.32	Professional		$46.54	$67.06	$100.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $121.91	Facility		$75.80	$75.80	$121.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $151.13 / $188.91	Professional		$75.80	$151.13	$188.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $126.75 / $134.32	Professional		$105.29	$126.75	$134.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $142.41 / $563.66	Facility		$69.62	$142.41	$563.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $61.09 / $151.44	Professional		$52.99	$61.09	$151.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.55 / $121.91 / $163.68	Facility		$121.55	$121.91	$163.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $142.41 / $233.00	Professional		$99.86	$142.41	$233.00
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $55.30 / $130.44	Professional		$52.99	$55.30	$130.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $108.61 / $108.61 / $108.61	Facility		$108.61	$108.61	$108.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $108.61 / $108.61	Professional		$85.80	$108.61	$108.61