Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.87 / $275.27 / $529.96	Facility		$144.87	$275.27	$529.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $192.50 / $855.00	Professional		$144.88	$192.50	$855.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $65.00 / $365.63	Facility		$50.00	$65.00	$365.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.10 / $482.25 / $602.80	Professional		$351.10	$482.25	$602.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.42 / $275.77 / $394.77	Professional		$211.42	$275.77	$394.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.15 / $324.08 / $600.50	Facility		$123.15	$324.08	$600.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.36 / $380.96 / $603.33	Professional		$221.36	$380.96	$603.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $365.63 / $409.03 / $570.13	Facility		$365.63	$409.03	$570.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $409.03 / $570.13	Professional		$295.79	$409.03	$570.13
United Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $319.91 / $506.20	Professional		$207.00	$319.91	$506.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $392.10 / $392.10 / $461.20	Professional		$392.10	$392.10	$461.20