Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.52 / $327.52 / $327.52	Facility		$327.52	$327.52	$327.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.63 / $198.63 / $1,639.71	Professional		$198.63	$198.63	$1,639.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $774.35 / $797.58 / $820.81	Facility		$774.35	$797.58	$820.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.35 / $525.91 / $657.41	Professional		$475.35	$525.91	$657.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.28 / $313.33 / $585.17	Professional		$192.28	$313.33	$585.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.68 / $534.80 / $1,031.97	Facility		$335.68	$534.80	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.37 / $346.29 / $756.25	Professional		$213.37	$346.29	$756.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $348.98 / $475.35 / $797.58	Facility		$348.98	$475.35	$797.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $352.00 / $478.52 / $649.34	Professional		$352.00	$478.52	$649.34
United Facility/Professional Professional Modifier Low / Median / High Price $225.44 / $247.98 / $454.64	Professional		$225.44	$247.98	$454.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $301.31 / $381.40 / $448.70	Professional		$301.31	$381.40	$448.70