Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.79 / $61.79 / $66.89	Facility		$61.79	$61.79	$66.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $45.77 / $68.06	Professional		$31.57	$45.77	$68.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.54 / $54.54 / $103.63	Facility		$54.54	$54.54	$103.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $103.13 / $128.91	Professional		$54.54	$103.13	$128.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $88.92 / $94.21	Professional		$76.20	$88.92	$94.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.18 / $108.50 / $416.19	Facility		$59.18	$108.50	$416.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.00 / $123.57	Professional		$38.02	$47.00	$123.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.33 / $103.63 / $124.20	Facility		$103.33	$103.63	$124.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $115.79 / $198.02	Professional		$84.85	$115.79	$198.02
United Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $47.00 / $115.60	Professional		$37.68	$47.00	$115.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $89.50 / $89.50 / $89.50	Facility		$89.50	$89.50	$89.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $89.50 / $89.50	Professional		$70.70	$89.50	$89.50