Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.82 / $428.82 / $428.82	Facility		$428.82	$428.82	$428.82
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 $511.71 / $527.05 / $542.41	Facility		$511.71	$527.05	$542.41
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 / $203.95 / $633.39	Professional		$108.31	$203.95	$633.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.86 / $428.82 / $1,031.97	Facility		$240.86	$428.82	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $239.78 / $1,099.39	Professional		$123.42	$239.78	$1,099.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $265.43 / $353.02 / $542.41	Facility		$265.43	$353.02	$542.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.62 / $302.20 / $553.00	Professional		$230.62	$302.20	$553.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $142.21 / $284.68	Professional		$118.51	$142.21	$284.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.27 / $213.00 / $250.50	Professional		$168.27	$213.00	$250.50