Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $79.70 / $79.70	Facility		$68.56	$79.70	$79.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $58.96 / $84.16	Professional		$39.04	$58.96	$84.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $109.22	Facility		$81.37	$81.37	$109.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $133.13 / $166.41	Professional		$81.37	$133.13	$166.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $116.08 / $193.72	Professional		$94.23	$116.08	$193.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.37 / $127.58 / $494.49	Facility		$62.37	$127.58	$494.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $53.10 / $135.65	Professional		$46.59	$53.10	$135.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $109.22 / $143.13	Facility		$108.90	$109.22	$143.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $127.58 / $208.69	Professional		$89.44	$127.58	$208.69
United Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $49.53 / $130.22	Professional		$46.59	$49.53	$130.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $97.30 / $97.30 / $97.30	Facility		$97.30	$97.30	$97.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $97.30 / $97.30	Professional		$76.87	$97.30	$97.30