Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $78.95 / $78.95	Facility		$62.00	$78.95	$78.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $53.54 / $99.62	Professional		$41.00	$53.54	$99.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $93.75	Facility		$71.02	$71.02	$93.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $131.63 / $164.53	Professional		$71.02	$131.63	$164.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $104.80 / $113.64	Professional		$83.37	$104.80	$113.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $109.51 / $457.61	Facility		$53.54	$109.51	$457.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $48.04 / $116.44	Professional		$40.75	$48.04	$116.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.47 / $93.75 / $129.47	Facility		$93.47	$93.75	$129.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $110.80 / $179.15	Professional		$76.79	$110.80	$179.15
United Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $42.52 / $111.78	Professional		$40.75	$42.52	$111.78
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $83.53 / $83.53 / $83.53	Facility		$83.53	$83.53	$83.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $83.53 / $83.53	Professional		$65.98	$83.53	$83.53