Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $67.61 / $100.00	Facility		$61.66	$67.61	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $81.28	Professional		$39.81	$57.54	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Facility		$81.28	$81.28	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $165.96	Professional		$81.28	$131.83	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $194.98	Professional		$93.33	$177.83	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $125.89 / $489.78	Facility		$67.61	$125.89	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $165.96	Professional		$46.77	$63.10	$165.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $112.20 / $144.54	Professional		$109.65	$112.20	$144.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $165.96	Professional		$107.15	$165.96	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $77.62 / $154.88	Facility		$36.31	$77.62	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $48.98 / $95.50	Professional		$46.77	$48.98	$95.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $97.72	Professional		$77.62	$97.72	$97.72