Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $103.66 / $103.66	Facility		$82.08	$103.66	$103.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $66.17 / $103.66	Professional		$45.90	$66.17	$103.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $150.78	Facility		$68.84	$68.84	$150.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.75 / $144.69 / $179.53	Professional		$115.75	$144.69	$179.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.57 / $137.07 / $153.40	Professional		$117.57	$137.07	$153.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $176.13 / $584.39	Facility		$87.41	$176.13	$584.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $77.84 / $180.08	Professional		$63.23	$77.84	$180.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.35 / $150.78 / $180.71	Facility		$150.35	$150.78	$180.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.46 / $167.36 / $288.14	Professional		$121.46	$167.36	$288.14
United Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $69.09 / $160.88	Professional		$61.74	$69.09	$160.88
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $134.33 / $134.33 / $134.33	Facility		$134.33	$134.33	$134.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.12 / $134.33 / $134.33	Professional		$106.12	$134.33	$134.33