Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $77.47 / $77.47	Facility		$65.59	$77.47	$77.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $54.15 / $84.23	Professional		$40.26	$54.15	$84.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $118.71	Facility		$59.82	$59.82	$118.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $107.25 / $134.06	Professional		$59.82	$107.25	$134.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.49 / $106.20 / $118.00	Professional		$92.49	$106.20	$118.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $138.66 / $477.03	Facility		$68.81	$138.66	$477.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $62.83 / $141.43	Professional		$50.77	$62.83	$141.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.71 / $142.28	Facility		$118.37	$118.71	$142.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $136.96 / $226.84	Professional		$96.00	$136.96	$226.84
United Facility/Professional Facility Modifier Low / Median / High Price $144.25 / $144.25 / $234.41	Facility		$144.25	$144.25	$234.41
United Facility/Professional Professional Modifier Low / Median / High Price $50.77 / $53.84 / $120.24	Professional		$50.77	$53.84	$120.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $105.76 / $105.76	Facility		$105.76	$105.76	$105.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $105.76 / $105.76	Professional		$83.55	$105.76	$105.76