Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.53 / $76.53 / $76.53	Facility		$76.53	$76.53	$76.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $473.10	Professional		$58.88	$58.88	$473.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.60 / $269.45 / $277.30	Facility		$261.60	$269.45	$277.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $162.90 / $203.62	Professional		$148.72	$162.90	$203.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $95.40 / $283.82	Professional		$60.10	$95.40	$283.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.51 / $175.60 / $3,352.67	Facility		$99.51	$175.60	$3,352.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $93.60 / $231.22	Professional		$65.08	$93.60	$231.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $145.08 / $269.45 / $1,546.82	Facility		$145.08	$269.45	$1,546.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $152.79 / $203.68	Professional		$93.60	$152.79	$203.68
United Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $72.36 / $131.18	Professional		$61.05	$72.36	$131.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $119.30 / $140.40	Professional		$94.25	$119.30	$140.40