Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.72 / $77.72 / $82.30	Facility		$77.72	$77.72	$82.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $60.02 / $100.47	Professional		$44.93	$60.02	$100.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $122.47	Facility		$66.72	$66.72	$122.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $129.75 / $162.19	Professional		$66.72	$129.75	$162.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $116.84 / $126.61	Professional		$105.77	$116.84	$126.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.94 / $143.06 / $520.92	Facility		$69.94	$143.06	$520.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $57.62 / $151.83	Professional		$49.85	$57.62	$151.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.11 / $122.47 / $151.83	Facility		$122.11	$122.47	$151.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.28 / $143.06 / $234.02	Professional		$100.28	$143.06	$234.02
United Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $55.54 / $130.88	Professional		$49.41	$55.54	$130.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $105.77 / $105.77 / $105.77	Facility		$105.77	$105.77	$105.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $105.77 / $105.77	Professional		$83.56	$105.77	$105.77