Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $95.67 / $95.67	Facility		$79.98	$95.67	$95.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $68.81 / $93.13	Professional		$42.78	$68.81	$93.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $136.28	Facility		$64.52	$64.52	$136.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.52 / $159.75 / $199.69	Professional		$64.52	$159.75	$199.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $119.95 / $137.68	Professional		$103.26	$119.95	$137.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $156.88 / $554.66	Facility		$77.83	$156.88	$554.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $61.81 / $169.27	Professional		$51.52	$61.81	$169.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.87 / $136.28 / $163.34	Facility		$135.87	$136.28	$163.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $156.88 / $260.41	Professional		$111.60	$156.88	$260.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $61.81 / $145.83	Professional		$51.05	$61.81	$145.83
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $121.41 / $121.41 / $121.41	Facility		$121.41	$121.41	$121.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.91 / $121.41 / $121.41	Professional		$95.91	$121.41	$121.41