Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.27 / $261.27 / $497.58	Facility		$261.27	$261.27	$497.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $261.27 / $80,880.00	Professional		$225.11	$261.27	$80,880.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.35 / $229.35 / $229.35	Facility		$229.35	$229.35	$229.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.48 / $235.34 / $280.58	Professional		$224.48	$235.34	$280.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $225.11 / $466.56	Professional		$159.38	$225.11	$466.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.19 / $261.27 / $339.29	Facility		$225.19	$261.27	$339.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.19 / $225.19 / $330.88	Professional		$225.19	$225.19	$330.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $264.38 / $330.89 / $518.39	Facility		$264.38	$330.89	$518.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $251.47 / $270.23 / $577.00	Professional		$251.47	$270.23	$577.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $231.86	Professional		$225.11	$225.11	$231.86
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $225.19 / $225.19 / $225.19	Facility		$225.19	$225.19	$225.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.19 / $225.19 / $225.19	Professional		$225.19	$225.19	$225.19