Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.34 / $71.34 / $75.50	Facility		$71.34	$71.34	$75.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $55.10 / $92.22	Professional		$41.26	$55.10	$92.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $112.40	Facility		$57.32	$57.32	$112.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $118.88 / $148.59	Professional		$96.03	$118.88	$148.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $115.82 / $125.51	Professional		$97.07	$115.82	$125.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.86 / $131.30 / $478.20	Facility		$60.86	$131.30	$478.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $52.89 / $139.35	Professional		$45.77	$52.89	$139.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.07 / $112.40 / $139.35	Facility		$112.07	$112.40	$139.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $131.30 / $214.81	Professional		$92.05	$131.30	$214.81
United Facility/Professional Facility Modifier Low / Median / High Price $146.78 / $146.78 / $238.52	Facility		$146.78	$146.78	$238.52
United Facility/Professional Professional Modifier Low / Median / High Price $45.36 / $50.98 / $120.18	Professional		$45.36	$50.98	$120.18
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $97.07 / $97.07 / $97.07	Facility		$97.07	$97.07	$97.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $97.07 / $97.07	Professional		$76.69	$97.07	$97.07