Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $107.15	Facility		$91.20	$91.20	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $128.82	Professional		$60.26	$77.62	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $162.18	Facility		$81.28	$81.28	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $169.82 / $213.80	Professional		$81.28	$169.82	$213.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $169.82	Professional		$125.89	$154.88	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.78 / $676.08	Facility		$100.00	$173.78	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $245.47	Professional		$66.07	$89.13	$245.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $165.96 / $199.53	Professional		$158.49	$165.96	$199.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $245.47	Professional		$151.36	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $104.71 / $213.80	Facility		$50.12	$104.71	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $134.90	Professional		$64.57	$72.44	$134.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $141.25	Professional		$112.20	$141.25	$141.25