Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.02 / $85.02 / $85.50	Facility		$85.02	$85.02	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $70.58 / $107.38	Professional		$49.81	$70.58	$107.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $136.32	Facility		$73.43	$73.43	$136.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $141.75 / $177.19	Professional		$73.43	$141.75	$177.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $116.24 / $137.38 / $148.87	Professional		$116.24	$137.38	$148.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $156.02 / $621.04	Facility		$77.84	$156.02	$621.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $66.23 / $169.32	Professional		$58.10	$66.23	$169.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.93 / $136.32 / $178.51	Facility		$135.93	$136.32	$178.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $111.64 / $161.11 / $260.50	Professional		$111.64	$161.11	$260.50
United Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $61.82 / $159.07	Professional		$58.10	$61.82	$159.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $117.73 / $117.73 / $117.73	Facility		$117.73	$117.73	$117.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.01 / $117.73 / $117.73	Professional		$93.01	$117.73	$117.73