Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.52 / $160.52 / $193.20	Facility		$160.52	$160.52	$193.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $144.71 / $221.68	Professional		$86.81	$144.71	$221.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $243.32	Facility		$174.27	$174.27	$243.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $307.50 / $384.38	Professional		$22.19	$307.50	$384.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $25.48 / $312.47	Professional		$25.48	$25.48	$312.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.18 / $306.18 / $1,325.73	Facility		$36.18	$306.18	$1,325.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $130.72 / $311.82	Professional		$90.71	$130.72	$311.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $31.12 / $73.55	Facility		$31.12	$31.12	$73.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $37.19 / $73.55	Professional		$30.88	$37.19	$73.55
United Facility/Professional Professional Modifier Low / Median / High Price $105.71 / $120.39 / $289.91	Professional		$105.71	$120.39	$289.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $254.61 / $254.61	Professional		$201.14	$254.61	$254.61