Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.64 / $65.20 / $65.20	Facility		$56.64	$65.20	$65.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $46.76 / $71.64	Professional		$35.51	$46.76	$71.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $50.36 / $85.64	Facility		$50.36	$50.36	$85.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $90.38 / $112.97	Professional		$50.36	$90.38	$112.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $88.47 / $106.20	Professional		$75.51	$88.47	$106.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.65 / $101.21 / $404.35	Facility		$49.65	$101.21	$404.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $51.78 / $106.36	Professional		$38.50	$51.78	$106.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.38 / $85.64 / $118.28	Facility		$85.38	$85.64	$118.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $101.21 / $163.66	Professional		$70.14	$101.21	$163.66
United Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $44.89 / $101.21	Professional		$38.50	$44.89	$101.21
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $76.29 / $76.29 / $76.29	Facility		$76.29	$76.29	$76.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $76.29 / $76.29	Professional		$60.27	$76.29	$76.29