Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.72 / $511.09 / $714.89	Facility		$262.72	$511.09	$714.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $202.29 / $254.84	Professional		$173.40	$202.29	$254.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.26 / $315.26 / $315.26	Facility		$315.26	$315.26	$315.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.54 / $477.20 / $596.50	Professional		$341.54	$477.20	$596.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $288.99 / $475.52	Professional		$150.00	$288.99	$475.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.72 / $315.26 / $722.60	Facility		$262.72	$315.26	$722.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $157.63 / $1,054.60	Professional		$157.63	$157.63	$1,054.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $315.26 / $341.54 / $722.60	Facility		$315.26	$341.54	$722.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.26 / $341.54 / $722.60	Professional		$315.26	$341.54	$722.60
United Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $157.63 / $486.03	Professional		$157.63	$157.63	$486.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $262.72 / $262.72 / $262.72	Professional		$262.72	$262.72	$262.72