Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $141.09 / $194.78	Professional		$84.51	$141.09	$194.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.57 / $251.00 / $333.88	Professional		$164.57	$251.00	$333.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $176.46 / $338.01	Professional		$92.91	$176.46	$338.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.26 / $228.58 / $661.20	Facility		$132.26	$228.58	$661.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $236.03 / $860.79	Professional		$126.04	$236.03	$860.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.94 / $212.32 / $307.35	Facility		$119.94	$212.32	$307.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $235.17 / $327.87	Professional		$177.00	$235.17	$327.87
United Facility/Professional Facility Modifier Low / Median / High Price $348.72 / $798.22 / $1,966.00	Facility		$348.72	$798.22	$1,966.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $183.33 / $341.45	Professional		$119.85	$183.33	$341.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $216.70 / $291.39	Professional		$184.20	$216.70	$291.39