Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.15 / $108.79 / $108.79	Facility		$99.15	$108.79	$108.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $81.84 / $142.77	Professional		$70.51	$81.84	$142.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $85.16 / $149.91	Facility		$85.16	$85.16	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.16 / $181.50 / $226.88	Professional		$85.16	$181.50	$226.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.71 / $143.57 / $156.57	Professional		$129.71	$143.57	$156.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $175.11 / $717.68	Facility		$85.61	$175.11	$717.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $77.40 / $186.19	Professional		$65.15	$77.40	$186.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $152.03 / $207.03	Facility		$149.91	$152.03	$207.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $177.16 / $286.47	Professional		$122.77	$177.16	$286.47
United Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $67.98 / $160.30	Professional		$65.16	$67.98	$160.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Facility		$129.47	$129.47	$129.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $129.47 / $129.47	Professional		$102.28	$129.47	$129.47