Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $68.15 / $72.14	Facility		$68.15	$68.15	$72.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $52.62 / $88.08	Professional		$39.40	$52.62	$88.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $107.38	Facility		$66.58	$66.58	$107.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $113.63 / $142.03	Professional		$66.58	$113.63	$142.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $104.14 / $112.85	Professional		$92.74	$104.14	$112.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.32 / $125.43 / $456.72	Facility		$61.32	$125.43	$456.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $50.52 / $133.10	Professional		$43.71	$50.52	$133.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.06 / $107.38 / $133.10	Facility		$107.06	$107.38	$133.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.92 / $125.43 / $205.19	Professional		$87.92	$125.43	$205.19
United Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $48.70 / $114.77	Professional		$43.32	$48.70	$114.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $92.74 / $92.74	Facility		$92.74	$92.74	$92.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $92.74 / $92.74	Professional		$73.26	$92.74	$92.74