Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $812.83	Facility		$218.78	$218.78	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $218.78 / $524.81	Professional		$54.95	$218.78	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $398.11 / $407.38	Facility		$389.05	$398.11	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $269.15	Professional		$239.88	$239.88	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $512.86 / $537.03	Professional		$151.36	$512.86	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $363.08 / $524.81	Facility		$218.78	$363.08	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $269.15	Professional		$223.87	$223.87	$269.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $389.05 / $524.81	Facility		$223.87	$389.05	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $223.87	Professional		$177.83	$223.87	$223.87