Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $128.09 / $192.05	Professional		$75.79	$128.09	$192.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $224.97 / $358.39	Professional		$162.93	$224.97	$358.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $175.14 / $316.72	Professional		$80.50	$175.14	$316.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.09 / $216.61 / $661.20	Facility		$128.09	$216.61	$661.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $234.22 / $888.16	Professional		$125.59	$234.22	$888.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.09 / $215.00 / $303.10	Facility		$115.09	$215.00	$303.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $223.79 / $323.30	Professional		$162.26	$223.79	$323.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $181.92 / $338.83	Professional		$119.39	$181.92	$338.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $159.80 / $188.00 / $288.39	Professional		$159.80	$188.00	$288.39