Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.51 / $69.39 / $69.39	Facility		$63.51	$69.39	$69.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $52.91 / $99.50	Professional		$41.66	$52.91	$99.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $96.02	Facility		$64.62	$64.62	$96.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $115.88 / $144.84	Professional		$64.62	$115.88	$144.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $111.41 / $122.21	Professional		$83.09	$111.41	$122.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $112.17 / $463.13	Facility		$54.84	$112.17	$463.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $49.20 / $119.26	Professional		$41.73	$49.20	$119.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.75 / $96.02 / $132.60	Facility		$95.75	$96.02	$132.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.64 / $113.48 / $183.48	Professional		$78.64	$113.48	$183.48
United Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $43.55 / $114.49	Professional		$41.73	$43.55	$114.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $85.54 / $85.54 / $85.54	Facility		$85.54	$85.54	$85.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.58 / $85.54 / $85.54	Professional		$67.58	$85.54	$85.54