Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $239.88 / $398.11	Facility		$199.53	$239.88	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $12,302.69	Professional		$199.53	$239.88	$12,302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $251.19	Professional		$204.17	$218.78	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $380.19	Professional		$144.54	$204.17	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $316.23	Facility		$151.36	$213.80	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $371.54	Professional		$181.97	$234.42	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $281.84	Professional		$245.47	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $234.42	Professional		$199.53	$204.17	$234.42
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17