Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $63.88 / $67.59	Facility		$63.88	$63.88	$67.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $49.38 / $83.39	Professional		$36.94	$49.38	$83.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $100.64	Facility		$61.54	$61.54	$100.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $106.50 / $133.13	Professional		$61.54	$106.50	$133.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $91.93 / $239.09	Professional		$74.23	$91.93	$239.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.48 / $117.57 / $428.17	Facility		$57.48	$117.57	$428.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $47.36 / $125.01	Professional		$40.98	$47.36	$125.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.36 / $100.64 / $124.78	Facility		$100.36	$100.64	$124.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $117.57 / $192.34	Professional		$82.43	$117.57	$192.34
United Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $45.65 / $119.51	Professional		$40.61	$45.65	$119.51
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $86.92 / $86.92 / $86.92	Facility		$86.92	$86.92	$86.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $86.92 / $86.92	Professional		$68.67	$86.92	$86.92