Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $323.59	Facility		$269.15	$269.15	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $354.81	Professional		$138.04	$239.88	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $380.19	Facility		$208.93	$208.93	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $512.86 / $707.95	Professional		$208.93	$512.86	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $457.09 / $1,995.26	Facility		$48.98	$457.09	$1,995.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $524.81	Professional		$131.83	$223.87	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $371.54 / $870.96	Professional		$363.08	$371.54	$870.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $389.05	Facility		$380.19	$380.19	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $138.04 / $281.84	Facility		$16.22	$138.04	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $616.60	Professional		$173.78	$223.87	$616.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $407.38	Professional		$316.23	$407.38	$407.38