Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.66 / $68.66 / $69.65	Facility		$68.66	$68.66	$69.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $57.49 / $85.50	Professional		$39.65	$57.49	$85.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $62.81 / $105.30	Facility		$56.69	$62.81	$105.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $114.38 / $142.97	Professional		$62.81	$114.38	$142.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $99.68 / $108.03	Professional		$90.94	$99.68	$108.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $123.01 / $501.46	Facility		$60.14	$123.01	$501.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $53.96 / $130.80	Professional		$45.76	$53.96	$130.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $105.30 / $145.41	Facility		$105.00	$105.30	$145.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $123.04 / $201.23	Professional		$86.23	$123.04	$201.23
United Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $47.76 / $112.71	Professional		$45.76	$47.76	$112.71
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $93.82 / $93.82 / $93.82	Facility		$93.82	$93.82	$93.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $93.82 / $93.82	Professional		$74.12	$93.82	$93.82