Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.62 / $195.62 / $195.62	Facility		$195.62	$195.62	$195.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.67 / $175.67 / $1,487.08	Professional		$175.67	$175.67	$1,487.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.21 / $734.61 / $756.00	Facility		$713.21	$734.61	$756.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.18 / $494.12 / $617.65	Professional		$446.18	$494.12	$617.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.22 / $281.25 / $729.64	Professional		$177.22	$281.25	$729.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.00 / $477.58 / $1,031.97	Facility		$258.00	$477.58	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.52 / $265.61 / $591.05	Professional		$183.52	$265.61	$591.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.14 / $446.18 / $734.61	Facility		$325.14	$446.18	$734.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $438.54 / $627.74	Professional		$237.00	$438.54	$627.74
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 $184.22 / $234.57 / $450.05	Professional		$184.22	$234.57	$450.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $282.82 / $358.00 / $421.20	Professional		$282.82	$358.00	$421.20