Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $66.20 / $66.20	Facility		$59.22	$66.20	$66.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $51.13 / $96.93	Professional		$40.15	$51.13	$96.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $61.62 / $89.53	Facility		$61.62	$61.62	$89.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.62 / $110.63 / $138.28	Professional		$61.62	$110.63	$138.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $101.90 / $110.10	Professional		$77.47	$101.90	$110.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.13 / $104.58 / $434.49	Facility		$51.13	$104.58	$434.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.88 / $111.21	Professional		$38.90	$45.88	$111.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.53 / $90.79 / $123.65	Facility		$89.53	$90.79	$123.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $105.81 / $171.08	Professional		$73.33	$105.81	$171.08
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.61 / $106.77	Professional		$38.90	$40.61	$106.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $79.76 / $79.76 / $79.76	Facility		$79.76	$79.76	$79.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $79.76 / $79.76	Professional		$63.01	$79.76	$79.76