Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.88 / $182.88 / $182.88	Facility		$182.88	$182.88	$182.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.33 / $136.33 / $1,170.15	Professional		$136.33	$136.33	$1,170.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.07 / $663.39 / $682.71	Facility		$644.07	$663.39	$682.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.63 / $360.70 / $450.88	Professional		$326.63	$360.70	$450.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.86 / $205.95 / $610.34	Professional		$131.86	$205.95	$610.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.40 / $397.29 / $1,031.97	Facility		$230.40	$397.29	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.04 / $223.97 / $519.65	Professional		$160.04	$223.97	$519.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $299.43 / $381.65 / $663.39	Facility		$299.43	$381.65	$663.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.97 / $365.05 / $502.48	Professional		$223.97	$365.05	$502.48
United Facility/Professional Professional Modifier Low / Median / High Price $160.04 / $192.05 / $323.29	Professional		$160.04	$192.05	$323.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.06 / $262.10 / $308.30	Professional		$207.06	$262.10	$308.30