Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.24 / $253.24 / $253.24	Facility		$253.24	$253.24	$253.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $94.48 / $743.76	Professional		$94.48	$94.48	$743.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.69 / $430.22 / $442.75	Facility		$417.69	$430.22	$442.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.42 / $255.98 / $319.98	Professional		$233.42	$255.98	$319.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $179.64 / $489.76	Professional		$95.53	$179.64	$489.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.88 / $329.99 / $1,031.97	Facility		$212.88	$329.99	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $175.36 / $640.14	Professional		$109.19	$175.36	$640.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $233.42 / $329.99 / $509.39	Facility		$233.42	$329.99	$509.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $203.82 / $265.10 / $365.49	Professional		$203.82	$265.10	$365.49
United Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $126.50 / $212.14	Professional		$105.42	$126.50	$212.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $187.30 / $220.30	Professional		$147.97	$187.30	$220.30