Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.15 / $84.24 / $84.24	Facility		$81.15	$84.24	$84.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $62.32 / $92.23	Professional		$42.79	$62.32	$92.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $114.71	Facility		$75.47	$75.47	$114.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $140.63 / $175.78	Professional		$75.47	$140.63	$175.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $99.07 / $121.24	Professional		$91.37	$99.07	$121.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.51 / $134.00 / $539.88	Facility		$65.51	$134.00	$539.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $59.25 / $142.50	Professional		$49.87	$59.25	$142.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.38 / $114.71 / $156.88	Facility		$114.38	$114.71	$156.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.06 / $135.56 / $219.24	Professional		$95.06	$135.56	$219.24
United Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $52.03 / $136.80	Professional		$49.87	$52.03	$136.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $102.19 / $102.19 / $102.19	Facility		$102.19	$102.19	$102.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $102.19 / $102.19	Professional		$80.73	$102.19	$102.19