Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.13 / $77.52 / $77.52	Facility		$61.13	$77.52	$77.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.46 / $73.56	Professional		$35.00	$50.46	$73.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $59.87 / $98.54	Facility		$59.87	$59.87	$98.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $107.25 / $134.06	Professional		$59.87	$107.25	$134.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $103.04 / $126.26	Professional		$85.10	$103.04	$126.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $116.45 / $445.11	Facility		$57.12	$116.45	$445.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $57.22 / $122.39	Professional		$42.82	$57.22	$122.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.25 / $98.54 / $127.64	Facility		$98.25	$98.54	$127.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $115.10 / $188.30	Professional		$80.70	$115.10	$188.30
United Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $47.53 / $105.37	Professional		$42.69	$47.53	$105.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $87.79 / $87.79 / $87.79	Facility		$87.79	$87.79	$87.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $87.79 / $87.79	Professional		$69.34	$87.79	$87.79