Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $70.76 / $74.02	Facility		$70.76	$70.76	$74.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $61.10 / $95.20	Professional		$42.23	$61.10	$95.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $143.51	Facility		$66.72	$66.72	$143.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $118.13 / $147.66	Professional		$66.72	$118.13	$147.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.84 / $132.88 / $143.99	Professional		$101.84	$132.88	$143.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.95 / $150.18 / $538.29	Facility		$81.95	$150.18	$538.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $65.08 / $171.11	Professional		$50.75	$65.08	$171.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.08 / $143.51 / $171.99	Facility		$143.08	$143.51	$171.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $154.56 / $274.22	Professional		$116.00	$154.56	$274.22
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $65.08 / $132.38	Professional		$50.30	$65.08	$132.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $123.94 / $123.94 / $123.94	Facility		$123.94	$123.94	$123.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $123.94 / $123.94	Professional		$97.91	$123.94	$123.94