Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.61 / $80.08 / $80.08	Facility		$68.61	$80.08	$80.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $55.91 / $77.95	Professional		$35.57	$55.91	$77.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $54.02 / $97.90	Facility		$54.02	$54.02	$97.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $133.50 / $166.88	Professional		$97.90	$133.50	$166.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $107.01 / $115.26	Professional		$84.71	$107.01	$115.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $114.36 / $458.27	Facility		$55.91	$114.36	$458.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $48.72 / $121.60	Professional		$42.55	$48.72	$121.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.61 / $97.90 / $131.31	Facility		$97.61	$97.90	$131.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.38 / $114.36 / $187.08	Professional		$80.38	$114.36	$187.08
United Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $138.31 / $224.76	Facility		$138.31	$138.31	$224.76
United Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $44.40 / $116.74	Professional		$42.22	$44.40	$116.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $87.22 / $87.22 / $87.22	Facility		$87.22	$87.22	$87.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $87.22 / $87.22	Professional		$68.90	$87.22	$87.22