Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.88 / $107.88 / $108.02	Facility		$107.88	$107.88	$108.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $87.19 / $129.66	Professional		$59.75	$87.19	$129.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $159.69	Facility		$100.43	$100.43	$159.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $180.00 / $225.00	Professional		$100.43	$180.00	$225.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $145.16 / $155.26	Professional		$137.91	$145.16	$155.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $186.54 / $757.74	Facility		$91.20	$186.54	$757.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $81.83 / $198.35	Professional		$69.40	$81.83	$198.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.22 / $159.69 / $220.53	Facility		$159.22	$159.69	$220.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $186.54 / $305.14	Professional		$130.79	$186.54	$305.14
United Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $74.84 / $170.74	Professional		$69.40	$74.84	$170.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $142.27 / $142.27 / $142.27	Facility		$142.27	$142.27	$142.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $142.27 / $142.27	Professional		$112.39	$142.27	$142.27