Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $112.20	Facility		$85.11	$85.11	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $114.82	Professional		$53.70	$83.18	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $151.36	Facility		$107.15	$107.15	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $234.42	Professional		$107.15	$186.21	$234.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $162.18	Professional		$128.82	$151.36	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $173.78 / $724.44	Facility		$93.33	$173.78	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $234.42	Professional		$64.57	$87.10	$234.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $199.53	Professional		$147.91	$154.88	$199.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $229.09	Professional		$151.36	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $109.65 / $288.40	Facility		$51.29	$109.65	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $128.82	Professional		$64.57	$67.61	$128.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $131.83	Professional		$104.71	$131.83	$131.83