Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.74 / $148.74 / $182.18	Facility		$148.74	$148.74	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $138.10 / $207.32	Professional		$76.75	$138.10	$207.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $206.28	Facility		$153.77	$153.77	$206.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $288.75 / $360.94	Professional		$18.59	$288.75	$360.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $23.83 / $228.41	Professional		$23.83	$23.83	$228.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $252.86 / $1,123.95	Facility		$27.06	$252.86	$1,123.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $105.46 / $273.70	Professional		$77.31	$105.46	$273.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $65.09	Facility		$27.54	$27.54	$65.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $33.01 / $65.09	Professional		$27.46	$33.01	$65.09
United Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $101.93 / $261.94	Professional		$91.32	$101.93	$261.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $178.03 / $225.36 / $225.36	Professional		$178.03	$225.36	$225.36