Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.76 / $76.05 / $76.05	Facility		$66.76	$76.05	$76.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.69 / $76.72	Professional		$38.02	$48.69	$76.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $99.37	Facility		$50.66	$50.66	$99.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $105.38 / $131.72	Professional		$50.66	$105.38	$131.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.26 / $92.44 / $113.28	Professional		$86.26	$92.44	$113.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.61 / $117.44 / $423.35	Facility		$57.61	$117.44	$423.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $56.50 / $123.42	Professional		$43.19	$56.50	$123.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.08 / $99.37 / $123.16	Facility		$99.08	$99.37	$123.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $116.07 / $189.90	Professional		$81.38	$116.07	$189.90
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $48.11 / $118.39	Professional		$43.19	$48.11	$118.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $88.53 / $88.53 / $88.53	Facility		$88.53	$88.53	$88.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $88.53 / $88.53	Professional		$69.94	$88.53	$88.53