Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $113.67 / $113.67	Facility		$113.67	$113.67	$113.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.43 / $60.43 / $483.41	Professional		$60.43	$60.43	$483.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $278.38 / $286.49	Facility		$270.27	$278.38	$286.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $166.78 / $208.47	Professional		$152.28	$166.78	$208.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $114.23 / $287.58	Professional		$61.68	$114.23	$287.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $204.37 / $1,031.97	Facility		$113.67	$204.37	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $108.76 / $278.36	Professional		$69.94	$108.76	$278.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.28 / $278.38 / $449.30	Facility		$152.28	$278.38	$449.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $159.19 / $204.37	Professional		$130.36	$159.19	$204.37
United Facility/Professional Facility Modifier Low / Median / High Price $496.98 / $509.11 / $754.24	Facility		$496.98	$509.11	$754.24
United Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $76.88 / $134.51	Professional		$66.84	$76.88	$134.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.54 / $122.20 / $143.69	Professional		$96.54	$122.20	$143.69