Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $480.36 / $671.92	Facility		$246.92	$480.36	$671.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $190.13 / $190.13	Professional		$162.97	$190.13	$190.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $666.69 / $686.69 / $706.69	Facility		$666.69	$686.69	$706.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $448.47 / $560.59	Professional		$283.73	$448.47	$560.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.88 / $321.00 / $446.93	Professional		$209.88	$321.00	$446.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.92 / $318.63 / $970.94	Facility		$246.92	$318.63	$970.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $148.15 / $624.46	Professional		$148.15	$148.15	$624.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $296.55 / $451.55 / $686.69	Facility		$296.55	$451.55	$686.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $296.30 / $485.86 / $644.46	Professional		$296.30	$485.86	$644.46
United Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $148.15 / $505.57	Professional		$148.15	$148.15	$505.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.07 / $246.92 / $246.92	Professional		$195.07	$246.92	$246.92