Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $91.00 / $114.00	Facility		$91.00	$91.00	$114.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $73.47 / $116.39	Professional		$60.67	$73.47	$116.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $136.88 / $175.16	Professional		$56.50	$136.88	$175.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $341.61 / $351.34 / $375.81	Professional		$341.61	$351.34	$375.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.47 / $248.00 / $638.99	Facility		$73.47	$248.00	$638.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $92.16 / $272.97	Professional		$70.80	$92.16	$272.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $147.05 / $175.16 / $277.19	Facility		$147.05	$175.16	$277.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $221.68 / $301.33	Professional		$146.34	$221.68	$301.33
United Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $78.17 / $186.41	Professional		$70.80	$78.17	$186.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $216.88 / $216.88 / $216.88	Facility		$216.88	$216.88	$216.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $171.34 / $216.88 / $216.88	Professional		$171.34	$216.88	$216.88