Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.48 / $238.48 / $287.22	Facility		$238.48	$238.48	$287.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $213.97 / $329.33	Professional		$144.97	$213.97	$329.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $481.95	Facility		$243.17	$243.17	$481.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.17 / $436.13 / $556.75	Professional		$243.17	$436.13	$556.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $37.61 / $37.86	Professional		$35.74	$37.61	$37.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $593.24 / $1,744.00	Facility		$100.00	$593.24	$1,744.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $228.01 / $539.38	Professional		$185.44	$228.01	$539.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.20 / $48.20 / $113.93	Facility		$48.20	$48.20	$113.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $57.62 / $113.93	Professional		$47.84	$57.62	$113.93
United Facility/Professional Professional Modifier Low / Median / High Price $196.95 / $213.97 / $539.38	Professional		$196.95	$213.97	$539.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $394.33 / $394.33	Professional		$311.52	$394.33	$394.33