Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.43 / $164.43 / $164.43	Facility		$164.43	$164.43	$164.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $124.37 / $1,261.28	Professional		$124.37	$124.37	$1,261.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.07 / $592.32 / $609.57	Facility		$575.07	$592.32	$609.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.39 / $308.73 / $385.91	Professional		$280.39	$308.73	$385.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.94 / $177.81 / $543.78	Professional		$113.94	$177.81	$543.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.19 / $408.70 / $1,031.97	Facility		$210.19	$408.70	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.40 / $225.81 / $509.08	Professional		$147.40	$225.81	$509.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $280.39 / $384.18 / $592.32	Facility		$280.39	$384.18	$592.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $358.81 / $446.08	Professional		$216.00	$358.81	$446.08
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 $146.58 / $190.75 / $349.74	Professional		$146.58	$190.75	$349.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $225.00 / $264.60	Professional		$177.75	$225.00	$264.60