Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $229.09	Facility		$138.04	$138.04	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $204.17	Professional		$123.03	$147.91	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $489.78 / $501.19	Facility		$478.63	$489.78	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $512.86	Professional		$194.98	$407.38	$512.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $245.47 / $588.84	Professional		$44.67	$245.47	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $263.03 / $724.44	Facility		$120.23	$263.03	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $1,023.29	Professional		$151.36	$269.15	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $602.56	Professional		$234.42	$389.05	$602.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $389.05	Professional		$338.84	$371.54	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $371.54	Professional		$154.88	$213.80	$371.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $309.03	Professional		$263.03	$263.03	$309.03