Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.58 / $73.53 / $73.53	Facility		$64.58	$73.53	$73.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $47.11 / $74.20	Professional		$36.78	$47.11	$74.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.70 / $69.70 / $96.14	Facility		$69.70	$69.70	$96.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $101.63 / $127.03	Professional		$69.70	$101.63	$127.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $85.76 / $88.28	Professional		$72.73	$85.76	$88.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $113.62 / $410.39	Facility		$55.74	$113.62	$410.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $54.66 / $119.41	Professional		$41.78	$54.66	$119.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.86 / $96.14 / $119.15	Facility		$95.86	$96.14	$119.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $112.31 / $183.72	Professional		$78.73	$112.31	$183.72
United Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $46.38 / $114.13	Professional		$41.78	$46.38	$114.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $85.65 / $85.65 / $85.65	Facility		$85.65	$85.65	$85.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $85.65 / $85.65	Professional		$67.66	$85.65	$85.65