Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $426.58	Facility		$107.15	$107.15	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $316.23	Professional		$100.00	$114.82	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $524.81 / $537.03	Facility		$512.86	$524.81	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $295.12 / $371.54	Professional		$288.40	$295.12	$371.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $630.96	Professional		$120.23	$204.17	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $501.19 / $1,071.52	Facility		$263.03	$501.19	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $1,096.48	Professional		$123.03	$263.03	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $1,122.02	Professional		$239.88	$288.40	$1,122.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $309.03	Professional		$295.12	$295.12	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,230.27	Facility		$524.81	$912.01	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $302.00	Professional		$117.49	$169.82	$302.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $251.19	Professional		$169.82	$213.80	$251.19