Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.99 / $58.99 / $73.89	Facility		$58.99	$58.99	$73.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $47.63 / $75.28	Professional		$39.33	$47.63	$75.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $47.13 / $47.13	Facility		$47.13	$47.13	$47.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $114.00 / $142.50	Professional		$47.13	$114.00	$142.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $113.08 / $120.96	Professional		$109.96	$113.08	$120.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $150.37 / $414.18	Facility		$47.63	$150.37	$414.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $59.74 / $161.00	Professional		$45.89	$59.74	$161.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $113.54 / $179.69	Facility		$95.31	$113.54	$179.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.85 / $138.13 / $195.33	Professional		$94.85	$138.13	$195.33
United Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $50.60 / $120.84	Professional		$45.89	$50.60	$120.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $52.77 / $52.77 / $52.77	Facility		$52.77	$52.77	$52.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.77 / $52.77	Professional		$41.69	$52.77	$52.77