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 / $64.79 / $104.02	Professional		$46.55	$64.79	$104.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $126.74	Facility		$70.70	$70.70	$126.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $134.25 / $167.81	Professional		$70.70	$134.25	$167.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.46 / $116.46 / $132.12	Professional		$109.46	$116.46	$132.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $132.68 / $539.41	Facility		$75.80	$132.68	$539.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $60.23 / $157.41	Professional		$51.62	$60.23	$157.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.74 / $126.74 / $157.21	Facility		$126.74	$126.74	$157.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $149.79 / $242.20	Professional		$126.37	$149.79	$242.20
United Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $57.48 / $150.53	Professional		$51.16	$57.48	$150.53
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