Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.70 / $193.90 / $1,086.42	Facility		$182.70	$193.90	$1,086.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.38 / $307.42 / $678.40	Professional		$224.38	$307.42	$678.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.34 / $957.22 / $985.10	Facility		$929.34	$957.22	$985.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.47 / $501.84 / $570.72	Professional		$401.47	$501.84	$570.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $466.28 / $567.00	Professional		$150.00	$466.28	$567.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $175.75 / $745.44	Facility		$91.68	$175.75	$745.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $542.76 / $542.76 / $648.54	Professional		$542.76	$542.76	$648.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $648.54 / $957.22 / $985.10	Facility		$648.54	$957.22	$985.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $542.76 / $648.54 / $648.54	Professional		$542.76	$648.54	$648.54
United Facility/Professional Facility Modifier Low / Median / High Price $49.47 / $49.47 / $49.47	Facility		$49.47	$49.47	$49.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $540.00 / $540.00	Professional		$426.60	$540.00	$540.00