Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $81.91 / $86.70	Facility		$81.91	$81.91	$86.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $63.26 / $106.93	Professional		$47.36	$63.26	$106.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $136.50 / $170.63	Professional		$65.81	$136.50	$170.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.47 / $118.56 / $134.44	Professional		$111.47	$118.56	$134.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.72 / $139.25 / $549.05	Facility		$73.72	$139.25	$549.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.55 / $61.31 / $160.01	Professional		$52.55	$61.31	$160.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $129.07 / $160.01	Facility		$128.69	$129.07	$160.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $150.78 / $246.65	Professional		$105.71	$150.78	$246.65
United Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $168.53 / $273.86	Facility		$168.53	$168.53	$273.86
United Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $58.54 / $153.26	Professional		$52.08	$58.54	$153.26
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $111.47 / $111.47 / $111.47	Facility		$111.47	$111.47	$111.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $111.47 / $111.47	Professional		$88.06	$111.47	$111.47