Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.44 / $106.21 / $106.21	Facility		$93.44	$106.21	$106.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $68.06 / $107.18	Professional		$53.12	$68.06	$107.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $100.70 / $138.82	Facility		$100.70	$100.70	$138.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $147.00 / $183.75	Professional		$118.58	$147.00	$183.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $148.28 / $413.00	Professional		$120.46	$148.28	$413.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $166.47 / $544.75	Facility		$80.48	$166.47	$544.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $78.97 / $172.44	Professional		$60.33	$78.97	$172.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $138.41 / $138.82 / $172.14	Facility		$138.41	$138.82	$172.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $162.16 / $265.29	Professional		$113.69	$162.16	$265.29
United Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $63.60 / $148.52	Professional		$60.33	$63.60	$148.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $126.20 / $126.20 / $126.20	Facility		$126.20	$126.20	$126.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $126.20 / $126.20	Professional		$99.70	$126.20	$126.20