Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.01 / $160.01 / $160.01	Facility		$160.01	$160.01	$160.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.21 / $143.21 / $1,196.44	Professional		$143.21	$143.21	$1,196.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.82 / $542.62 / $558.42	Facility		$526.82	$542.62	$558.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.84 / $381.64 / $477.06	Professional		$345.84	$381.64	$477.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $218.34 / $405.63	Professional		$139.72	$218.34	$405.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $390.57 / $1,031.97	Facility		$231.00	$390.57	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $213.53 / $497.44	Professional		$140.75	$213.53	$497.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $316.79 / $387.03 / $550.20	Facility		$316.79	$387.03	$550.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $345.84 / $415.54	Professional		$211.00	$345.84	$415.54
United Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $180.38 / $364.53	Professional		$153.08	$180.38	$364.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $219.23 / $277.50 / $326.39	Professional		$219.23	$277.50	$326.39