Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.60 / $229.60 / $229.60	Facility		$229.60	$229.60	$229.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.62 / $172.62 / $1,441.36	Professional		$172.62	$172.62	$1,441.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.44 / $680.25 / $700.07	Facility		$660.44	$680.25	$700.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.58 / $458.44 / $573.04	Professional		$415.58	$458.44	$573.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.59 / $263.27 / $491.01	Professional		$168.59	$263.27	$491.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.73 / $466.76 / $1,031.97	Facility		$291.73	$466.76	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $288.00 / $661.15	Professional		$185.90	$288.00	$661.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.14 / $417.20 / $680.25	Facility		$325.14	$417.20	$680.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $283.95 / $415.58 / $559.29	Professional		$283.95	$415.58	$559.29
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 $185.90 / $229.25 / $431.57	Professional		$185.90	$229.25	$431.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $333.40 / $392.30	Professional		$263.39	$333.40	$392.30