Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $208.93	Facility		$134.90	$134.90	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $208.93	Professional		$109.65	$125.89	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $501.19	Professional		$208.93	$398.11	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $309.03 / $331.13	Professional		$302.00	$309.03	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $316.23 / $1,174.90	Facility		$134.90	$316.23	$1,174.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $549.54	Professional		$128.82	$194.98	$549.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $501.19	Professional		$275.42	$354.81	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $446.68 / $446.68	Professional		$416.87	$446.68	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $239.88	Facility		$109.65	$141.25	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $263.03	Professional		$128.82	$141.25	$263.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $218.78	Professional		$169.82	$218.78	$218.78