Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $72.98 / $77.25	Facility		$72.98	$72.98	$77.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $56.36 / $94.34	Professional		$42.19	$56.36	$94.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $114.97	Facility		$67.95	$67.95	$114.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $121.88 / $152.34	Professional		$67.95	$121.88	$152.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $104.52 / $106.13	Professional		$97.94	$104.52	$106.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $124.08 / $489.15	Facility		$65.66	$124.08	$489.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $54.11 / $142.56	Professional		$46.81	$54.11	$142.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.64 / $114.97 / $142.56	Facility		$114.64	$114.97	$142.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.15 / $134.30 / $219.71	Professional		$94.15	$134.30	$219.71
United Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $52.15 / $136.55	Professional		$46.40	$52.15	$136.55
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $102.43 / $102.43 / $102.43	Facility		$102.43	$102.43	$102.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.92 / $102.43 / $102.43	Professional		$80.92	$102.43	$102.43