Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $70.79	Facility		$63.10	$63.10	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $85.11	Professional		$40.74	$51.29	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $114.82	Facility		$61.66	$61.66	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $138.04	Professional		$61.66	$109.65	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $117.49	Professional		$87.10	$109.65	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $512.86	Facility		$69.18	$128.82	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $169.82	Professional		$47.86	$63.10	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $144.54	Professional		$112.20	$114.82	$144.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $169.82	Professional		$109.65	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $69.18 / $154.88	Facility		$36.31	$69.18	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $93.33	Professional		$46.77	$50.12	$93.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $95.50	Professional		$75.86	$95.50	$95.50