Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $73.15 / $73.15	Facility		$70.70	$73.15	$73.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $58.37 / $88.69	Professional		$41.14	$58.37	$88.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $106.91	Facility		$73.27	$73.27	$106.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.27 / $121.88 / $152.34	Professional		$73.27	$121.88	$152.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $113.65 / $124.76	Professional		$92.33	$113.65	$124.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $124.89 / $510.63	Facility		$61.06	$124.89	$510.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $54.77 / $132.79	Professional		$46.46	$54.77	$132.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $106.60 / $106.91 / $147.63	Facility		$106.60	$106.91	$147.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $126.35 / $204.29	Professional		$87.55	$126.35	$204.29
United Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $48.49 / $114.35	Professional		$46.46	$48.49	$114.35
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $95.25 / $95.25	Facility		$95.25	$95.25	$95.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.25 / $95.25 / $95.25	Professional		$75.25	$95.25	$95.25