Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $242.82 / $242.82	Facility		$242.82	$242.82	$242.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $212.39 / $1,734.43	Professional		$212.39	$212.39	$1,734.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $788.54 / $812.20 / $835.85	Facility		$788.54	$812.20	$835.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.09 / $560.83 / $701.04	Professional		$508.09	$560.83	$701.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.14 / $321.52 / $722.11	Professional		$206.14	$321.52	$722.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $559.82 / $1,031.97	Facility		$350.00	$559.82	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.84 / $312.74 / $756.07	Professional		$216.84	$312.74	$756.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $348.98 / $508.09 / $812.20	Facility		$348.98	$508.09	$812.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $508.09 / $639.21	Professional		$320.00	$508.09	$639.21
United Facility/Professional Facility Modifier Low / Median / High Price $496.98 / $509.11 / $754.24	Facility		$496.98	$509.11	$754.24
United Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $276.18 / $533.88	Professional		$228.00	$276.18	$533.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $322.08 / $407.70 / $479.60	Professional		$322.08	$407.70	$479.60