Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.59 / $202.59 / $202.59	Facility		$202.59	$202.59	$202.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $106.52 / $842.17	Professional		$106.52	$106.52	$842.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.96 / $494.36 / $508.76	Facility		$479.96	$494.36	$508.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.43 / $291.66 / $364.58	Professional		$265.43	$291.66	$364.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $187.56 / $498.57	Professional		$108.31	$187.56	$498.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.59 / $353.02 / $1,031.97	Facility		$202.59	$353.02	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $195.64 / $493.89	Professional		$123.08	$195.64	$493.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $265.43 / $353.02 / $509.39	Facility		$265.43	$353.02	$509.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $280.38 / $361.66	Professional		$230.62	$280.38	$361.66
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 $118.51 / $138.57 / $237.15	Professional		$118.51	$138.57	$237.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.27 / $213.00 / $250.50	Professional		$168.27	$213.00	$250.50