Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.91 / $83.17 / $83.17	Facility		$82.91	$83.17	$83.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $68.44 / $107.56	Professional		$53.04	$68.44	$107.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $151.86	Facility		$84.33	$84.33	$151.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $138.75 / $173.44	Professional		$84.33	$138.75	$173.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $132.65 / $140.57	Professional		$113.72	$132.65	$140.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $158.88 / $593.85	Facility		$86.72	$158.88	$593.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $68.86 / $181.05	Professional		$56.85	$68.86	$181.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.40 / $151.86 / $181.99	Facility		$151.40	$151.86	$181.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $173.10 / $290.16	Professional		$122.31	$173.10	$290.16
United Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $68.86 / $162.41	Professional		$56.34	$68.86	$162.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $131.15 / $131.15 / $131.15	Facility		$131.15	$131.15	$131.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $131.15 / $131.15	Professional		$103.61	$131.15	$131.15