Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.58 / $199.58 / $284.89	Facility		$199.58	$199.58	$284.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $190.08 / $324.25	Professional		$119.90	$190.08	$324.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.50 / $240.50 / $322.58	Facility		$240.50	$240.50	$322.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $386.25 / $482.81	Professional		$29.06	$386.25	$482.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $37.27 / $385.95	Professional		$37.27	$37.27	$385.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.29 / $389.68 / $1,757.61	Facility		$42.29	$389.68	$1,757.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.75 / $164.78 / $428.00	Professional		$120.75	$164.78	$428.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.08 / $43.08 / $101.82	Facility		$43.08	$43.08	$101.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $51.62 / $101.82	Professional		$42.95	$51.62	$101.82
United Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $164.78 / $409.32	Professional		$134.55	$164.78	$409.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $278.43 / $352.44 / $352.44	Professional		$278.43	$352.44	$352.44