Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.34 / $88.34 / $93.53	Facility		$88.34	$88.34	$93.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $68.23 / $114.18	Professional		$51.10	$68.23	$114.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $139.22	Facility		$70.98	$70.98	$139.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $147.38 / $184.22	Professional		$70.98	$147.38	$184.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $127.15 / $133.71	Professional		$120.23	$127.15	$133.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.86 / $162.62 / $592.25	Facility		$60.86	$162.62	$592.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $65.51 / $172.58	Professional		$56.68	$65.51	$172.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.82 / $139.22 / $172.58	Facility		$138.82	$139.22	$172.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $162.62 / $266.02	Professional		$114.01	$162.62	$266.02
United Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $63.14 / $148.96	Professional		$56.17	$63.14	$148.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $120.23 / $120.23	Professional		$94.98	$120.23	$120.23