Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $95.50 / $114.82	Facility		$87.10	$95.50	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $114.82	Professional		$56.23	$72.44	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $138.04	Facility		$89.13	$89.13	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $158.49 / $199.53	Professional		$89.13	$158.49	$199.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $165.96	Professional		$117.49	$138.04	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $645.65	Facility		$83.18	$158.49	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $204.17	Professional		$60.26	$89.13	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $186.21	Professional		$134.90	$141.25	$186.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $204.17	Professional		$138.04	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $93.33 / $199.53	Facility		$60.26	$93.33	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $114.82	Professional		$60.26	$66.07	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $120.23	Professional		$95.50	$120.23	$120.23