Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $158.49 / $501.19	Facility		$131.83	$158.49	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $309.03	Professional		$131.83	$131.83	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $524.81 / $537.03	Facility		$512.86	$524.81	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $346.74	Professional		$309.03	$309.03	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $346.74 / $416.87	Professional		$151.36	$346.74	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $398.11	Facility		$83.18	$131.83	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $346.74	Professional		$295.12	$295.12	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $120.23 / $162.18	Facility		$67.61	$120.23	$162.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $53.70	Professional		$42.66	$53.70	$53.70