Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.31 / $84.31 / $95.89	Facility		$84.31	$84.31	$95.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $72.18 / $107.33	Professional		$49.79	$72.18	$107.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $132.19	Facility		$75.09	$75.09	$132.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $140.63 / $175.78	Professional		$75.09	$140.63	$175.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $128.79 / $139.57	Professional		$114.16	$128.79	$139.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $154.41 / $634.55	Facility		$75.48	$154.41	$634.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $67.73 / $164.19	Professional		$57.45	$67.73	$164.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.80 / $132.19 / $182.55	Facility		$131.80	$132.19	$182.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.34 / $154.41 / $252.61	Professional		$112.34	$154.41	$252.61
United Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $60.05 / $157.62	Professional		$57.45	$60.05	$157.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $117.77 / $117.77 / $117.77	Facility		$117.77	$117.77	$117.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.04 / $117.77 / $117.77	Professional		$93.04	$117.77	$117.77