Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.34 / $182.34 / $182.34	Facility		$182.34	$182.34	$182.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $66.13 / $525.64	Professional		$66.13	$66.13	$525.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.29 / $310.33 / $319.37	Facility		$301.29	$310.33	$319.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.59 / $221.07 / $276.33	Professional		$179.59	$221.07	$276.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $150.86 / $343.52	Professional		$81.61	$150.86	$343.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.99 / $229.80 / $1,382.36	Facility		$148.99	$229.80	$1,382.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $126.76 / $449.00	Professional		$76.93	$126.76	$449.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.71 / $319.37 / $588.79	Facility		$174.71	$319.37	$588.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $142.61 / $192.16 / $256.29	Professional		$142.61	$192.16	$256.29
United Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $88.04 / $147.19	Professional		$73.37	$88.04	$147.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.66 / $161.60 / $190.10	Professional		$127.66	$161.60	$190.10