Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.11 / $84.11 / $89.05	Facility		$84.11	$84.11	$89.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $64.95 / $108.69	Professional		$48.63	$64.95	$108.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $132.51	Facility		$67.56	$67.56	$132.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $140.25 / $175.31	Professional		$67.56	$140.25	$175.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.44 / $121.06 / $129.44	Professional		$114.44	$121.06	$129.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.68 / $154.79 / $563.71	Facility		$75.68	$154.79	$563.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $62.35 / $164.29	Professional		$53.95	$62.35	$164.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $132.12 / $132.51 / $164.29	Facility		$132.12	$132.51	$164.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $154.79 / $253.23	Professional		$108.53	$154.79	$253.23
United Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $60.10 / $143.40	Professional		$57.59	$60.10	$143.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $114.44 / $114.44	Facility		$114.44	$114.44	$114.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $114.44 / $114.44	Professional		$90.41	$114.44	$114.44