Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $245.47	Facility		$213.80	$213.80	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $602.56	Professional		$199.53	$229.09	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $812.83 / $831.76	Facility		$794.33	$812.83	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $724.44	Professional		$575.44	$575.44	$724.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $912.01	Professional		$194.98	$323.59	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $1,071.52	Facility		$346.74	$575.44	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $812.83	Professional		$218.78	$371.54	$812.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $645.65	Professional		$467.74	$575.44	$645.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $616.60	Professional		$562.34	$562.34	$616.60
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 $218.78 / $275.42 / $588.84	Professional		$218.78	$275.42	$588.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $407.38 / $478.63	Professional		$323.59	$407.38	$478.63