Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Facility		$81.28	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $107.15	Professional		$51.29	$64.57	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $154.88	Facility		$85.11	$85.11	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $173.78	Professional		$85.11	$138.04	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $144.54	Professional		$112.20	$131.83	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $158.49 / $588.84	Facility		$91.20	$158.49	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $229.09	Professional		$58.88	$83.18	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $177.83	Professional		$151.36	$158.49	$177.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $229.09	Professional		$131.83	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $75.86 / $186.21	Facility		$43.65	$75.86	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $120.23	Professional		$56.23	$69.18	$120.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $131.83	Professional		$104.71	$131.83	$131.83