Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.43 / $65.05 / $65.05	Facility		$64.43	$65.05	$65.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $53.46 / $100.54	Professional		$37.93	$53.46	$100.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $97.41	Facility		$60.55	$60.55	$97.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $108.38 / $135.47	Professional		$60.55	$108.38	$135.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.12 / $110.05 / $118.90	Professional		$84.12	$110.05	$118.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $113.78 / $470.06	Facility		$55.62	$113.78	$470.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $49.91 / $120.99	Professional		$42.33	$49.91	$120.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.12 / $97.41 / $134.51	Facility		$97.12	$97.41	$134.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $115.12 / $186.13	Professional		$79.78	$115.12	$186.13
United Facility/Professional Facility Modifier Low / Median / High Price $141.66 / $141.66 / $230.22	Facility		$141.66	$141.66	$230.22
United Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $44.18 / $116.15	Professional		$42.33	$44.18	$116.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $86.78 / $86.78 / $86.78	Facility		$86.78	$86.78	$86.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $86.78 / $86.78	Professional		$68.56	$86.78	$86.78