Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $117.49 / $125.89	Facility		$112.20	$117.49	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $125.89	Professional		$64.57	$77.62	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $169.82	Facility		$97.72	$97.72	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $218.78	Professional		$97.72	$173.78	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $151.36 / $154.88	Professional		$131.83	$151.36	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $707.95	Facility		$102.33	$181.97	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $251.19	Professional		$72.44	$102.33	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $204.17	Professional		$165.96	$173.78	$204.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $251.19	Professional		$154.88	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $120.23 / $218.78	Facility		$67.61	$120.23	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $138.04	Professional		$69.18	$79.43	$138.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $147.91	Professional		$117.49	$147.91	$147.91