Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $68.37 / $68.37	Facility		$64.02	$68.37	$68.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $52.85 / $78.59	Professional		$36.46	$52.85	$78.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $96.79	Facility		$65.90	$65.90	$96.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $114.00 / $142.50	Professional		$65.90	$114.00	$142.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.59 / $102.88 / $123.79	Professional		$83.59	$102.88	$123.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $113.06 / $473.76	Facility		$55.28	$113.06	$473.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $49.97 / $120.22	Professional		$42.07	$49.97	$120.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.51 / $96.79 / $133.66	Facility		$96.51	$96.79	$133.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $114.39 / $184.96	Professional		$79.27	$114.39	$184.96
United Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $43.97 / $112.88	Professional		$42.98	$43.97	$112.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $86.23 / $86.23 / $86.23	Facility		$86.23	$86.23	$86.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $86.23 / $86.23	Professional		$68.12	$86.23	$86.23