Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $65.54 / $82.10	Facility		$65.54	$65.54	$82.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $52.92 / $83.90	Professional		$43.70	$52.92	$83.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $98.63 / $126.15	Professional		$69.84	$98.63	$126.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $133.88 / $143.19	Professional		$130.16	$133.88	$143.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $167.08 / $460.20	Facility		$52.92	$167.08	$460.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $66.38 / $180.00	Professional		$50.99	$66.38	$180.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.91 / $126.15 / $199.63	Facility		$105.91	$126.15	$199.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $153.49 / $217.03	Professional		$105.39	$153.49	$217.03
United Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $51.07 / $131.32	Professional		$50.99	$51.07	$131.32
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $68.40 / $68.40	Facility		$68.40	$68.40	$68.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $68.40 / $68.40	Professional		$54.04	$68.40	$68.40