Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.49 / $121.44 / $121.44	Facility		$105.49	$121.44	$121.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $87.08 / $147.87	Professional		$64.75	$87.08	$147.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $159.49	Facility		$126.00	$128.85	$159.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.85 / $168.00 / $210.00	Professional		$128.85	$168.00	$210.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $140.62 / $170.69 / $242.41	Professional		$140.62	$170.69	$242.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.46 / $191.15 / $720.02	Facility		$92.46	$191.15	$720.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $96.45 / $198.10	Professional		$71.69	$96.45	$198.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.02 / $159.49 / $220.26	Facility		$159.02	$159.49	$220.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.62 / $186.30 / $304.79	Professional		$130.62	$186.30	$304.79
United Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $86.04 / $188.49	Professional		$71.69	$86.04	$188.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $137.74 / $137.74 / $137.74	Facility		$137.74	$137.74	$137.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $137.74 / $137.74	Professional		$108.81	$137.74	$137.74