Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.16 / $415.99 / $428.47	Facility		$252.16	$415.99	$428.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $280.36 / $1,124.66	Professional		$170.48	$280.36	$1,124.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.70 / $173.70 / $173.70	Facility		$173.70	$173.70	$173.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.08 / $505.93 / $622.59	Professional		$498.08	$505.93	$622.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $347.99 / $741.61	Professional		$170.48	$347.99	$741.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.06 / $415.56 / $655.29	Facility		$167.06	$415.56	$655.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $167.06 / $642.41	Professional		$167.06	$167.06	$642.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.47 / $741.24 / $1,065.25	Facility		$200.47	$741.24	$1,065.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $200.47 / $563.35 / $741.25	Professional		$200.47	$563.35	$741.25
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $175.59	Professional		$170.48	$170.48	$175.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $167.06 / $167.06 / $167.06	Facility		$167.06	$167.06	$167.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $167.06 / $167.06	Professional		$167.06	$167.06	$167.06