Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $389.05	Facility		$87.10	$87.10	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $257.04	Professional		$79.43	$95.50	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $346.74	Facility		$331.13	$338.84	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $309.03	Professional		$239.88	$245.47	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $549.54	Professional		$100.00	$165.96	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $354.81 / $1,071.52	Facility		$194.98	$354.81	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $562.34	Professional		$102.33	$194.98	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $575.44	Professional		$194.98	$239.88	$575.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $257.04	Professional		$239.88	$239.88	$257.04
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 $97.72 / $125.89 / $251.19	Professional		$97.72	$125.89	$251.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $204.17	Professional		$138.04	$173.78	$204.17