Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $61.81 / $61.81	Facility		$53.34	$61.81	$61.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $44.03 / $64.20	Professional		$30.54	$44.03	$64.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $93.68	Facility		$45.81	$45.81	$93.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $85.50 / $106.88	Professional		$45.81	$85.50	$106.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $85.16 / $100.30	Professional		$73.31	$85.16	$100.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $109.42 / $392.56	Facility		$54.30	$109.42	$392.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $51.80 / $111.59	Professional		$40.70	$51.80	$111.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.40 / $93.68 / $112.27	Facility		$93.40	$93.68	$112.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $109.42 / $178.98	Professional		$76.72	$109.42	$178.98
United Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $43.90 / $95.94	Professional		$40.58	$43.90	$95.94
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $83.46 / $83.46	Facility		$83.46	$83.46	$83.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $83.46 / $83.46	Professional		$65.93	$83.46	$83.46