Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.53 / $74.53 / $78.90	Facility		$74.53	$74.53	$78.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $57.56 / $96.34	Professional		$43.09	$57.56	$96.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $117.43	Facility		$59.89	$59.89	$117.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $124.50 / $155.63	Professional		$59.89	$124.50	$155.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $124.81 / $147.88	Professional		$101.41	$124.81	$147.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $126.02 / $499.54	Facility		$67.06	$126.02	$499.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $55.25 / $145.85	Professional		$47.81	$55.25	$145.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.09 / $117.43 / $145.60	Facility		$117.09	$117.43	$145.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $137.16 / $224.39	Professional		$96.17	$137.16	$224.39
United Facility/Professional Professional Modifier Low / Median / High Price $47.39 / $53.26 / $139.44	Professional		$47.39	$53.26	$139.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $101.41 / $101.41 / $101.41	Facility		$101.41	$101.41	$101.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $101.41 / $101.41	Professional		$80.11	$101.41	$101.41