Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $85.18	Facility		$80.45	$80.45	$85.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $62.14 / $104.02	Professional		$46.55	$62.14	$104.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $64.66 / $126.74	Facility		$64.66	$64.66	$126.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.66 / $134.25 / $167.81	Professional		$64.66	$134.25	$167.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $110.10 / $115.79	Professional		$101.60	$110.10	$115.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.38 / $136.77 / $539.41	Facility		$72.38	$136.77	$539.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $59.66 / $157.21	Professional		$51.62	$59.66	$157.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.37 / $126.74 / $157.21	Facility		$126.37	$126.74	$157.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $148.05 / $242.20	Professional		$103.81	$148.05	$242.20
United Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $57.48 / $135.52	Professional		$51.16	$57.48	$135.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $109.46 / $109.46 / $109.46	Facility		$109.46	$109.46	$109.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.47 / $109.46 / $109.46	Professional		$86.47	$109.46	$109.46