Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.35 / $227.35 / $227.35	Facility		$227.35	$227.35	$227.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $162.63 / $1,366.06	Professional		$162.63	$162.63	$1,366.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.30 / $632.74 / $651.16	Facility		$614.30	$632.74	$651.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.40 / $432.06 / $540.08	Professional		$391.40	$432.06	$540.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $249.62 / $552.57	Professional		$158.21	$249.62	$552.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.86 / $462.63 / $1,382.36	Facility		$274.86	$462.63	$1,382.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $284.00 / $622.69	Professional		$175.16	$284.00	$622.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $378.51 / $462.63 / $685.05	Facility		$378.51	$462.63	$685.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $394.86 / $534.58	Professional		$280.00	$394.86	$534.58
United Facility/Professional Facility Modifier Low / Median / High Price $637.16 / $660.69 / $978.80	Facility		$637.16	$660.69	$978.80
United Facility/Professional Professional Modifier Low / Median / High Price $187.47 / $215.59 / $416.75	Professional		$187.47	$215.59	$416.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.06 / $314.00 / $369.40	Professional		$248.06	$314.00	$369.40