Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.61 / $92.77 / $92.77	Facility		$81.61	$92.77	$92.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $59.44 / $93.65	Professional		$46.41	$59.44	$93.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.96 / $87.96 / $121.23	Facility		$87.96	$87.96	$121.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $128.25 / $160.31	Professional		$87.96	$128.25	$160.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $129.52 / $448.40	Professional		$105.22	$129.52	$448.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $145.37 / $475.86	Facility		$70.28	$145.37	$475.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $68.97 / $150.58	Professional		$52.69	$68.97	$150.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.88 / $121.23 / $150.36	Facility		$120.88	$121.23	$150.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.29 / $141.62 / $231.67	Professional		$99.29	$141.62	$231.67
United Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $55.73 / $129.72	Professional		$52.69	$55.73	$129.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $110.21 / $110.21 / $110.21	Facility		$110.21	$110.21	$110.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $110.21 / $110.21	Professional		$87.07	$110.21	$110.21