Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.08 / $171.08 / $171.08	Facility		$171.08	$171.08	$171.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.13 / $169.13 / $1,339.27	Professional		$169.13	$169.13	$1,339.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.63 / $552.73 / $568.83	Facility		$536.63	$552.73	$568.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.77 / $403.36 / $504.21	Professional		$365.77	$403.36	$504.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $231.14 / $357.38	Professional		$147.84	$231.14	$357.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.00 / $433.84 / $1,031.97	Facility		$223.00	$433.84	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.87 / $239.03 / $549.16	Professional		$150.87	$239.03	$549.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.14 / $417.20 / $568.83	Facility		$325.14	$417.20	$568.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $364.34 / $491.20	Professional		$195.00	$364.34	$491.20
United Facility/Professional Professional Modifier Low / Median / High Price $156.03 / $201.92 / $363.70	Professional		$156.03	$201.92	$363.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $231.87 / $293.50 / $345.30	Professional		$231.87	$293.50	$345.30