Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.20 / $67.00 / $67.00	Facility		$58.20	$67.00	$67.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $48.04 / $73.62	Professional		$35.72	$48.04	$73.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $87.99	Facility		$51.74	$51.74	$87.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $92.63 / $115.78	Professional		$74.81	$92.63	$115.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $88.47 / $106.20	Professional		$77.58	$88.47	$106.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.01 / $105.46 / $426.39	Facility		$51.01	$105.46	$426.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $53.21 / $109.29	Professional		$39.54	$53.21	$109.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.73 / $87.99 / $121.52	Facility		$87.73	$87.99	$121.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $103.99 / $168.14	Professional		$72.06	$103.99	$168.14
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $47.47 / $103.99	Professional		$39.54	$47.47	$103.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $78.39 / $78.39 / $78.39	Facility		$78.39	$78.39	$78.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $78.39 / $78.39	Professional		$61.93	$78.39	$78.39