Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.62 / $197.62 / $239.78	Facility		$197.62	$197.62	$239.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.77 / $210.49 / $305.55	Professional		$118.77	$210.49	$305.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.16 / $238.16 / $426.50	Facility		$238.16	$238.16	$426.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.16 / $382.13 / $477.66	Professional		$238.16	$382.13	$477.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $38.78 / $38.78	Professional		$32.96	$38.78	$38.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $446.45 / $1,682.37	Facility		$100.00	$446.45	$1,682.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $193.43 / $512.77	Professional		$139.35	$193.43	$512.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $42.66 / $100.83	Facility		$39.61	$42.66	$100.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $49.50 / $100.83	Professional		$39.50	$49.50	$100.83
United Facility/Professional Professional Modifier Low / Median / High Price $160.99 / $193.43 / $512.77	Professional		$160.99	$193.43	$512.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $275.68 / $348.96 / $348.96	Professional		$275.68	$348.96	$348.96