Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $165.96	Facility		$123.03	$123.03	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $331.13	Professional		$120.23	$144.54	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $588.84 / $616.60	Facility		$575.44	$588.84	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $398.11	Professional		$316.23	$363.08	$398.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $691.83	Professional		$128.82	$181.97	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $416.87 / $1,071.52	Facility		$234.42	$416.87	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $512.86	Professional		$147.91	$257.04	$512.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $446.68	Professional		$257.04	$363.08	$446.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $363.08	Professional		$309.03	$309.03	$363.08
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 $138.04 / $199.53 / $407.38	Professional		$138.04	$199.53	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $263.03	Professional		$177.83	$223.87	$263.03