Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $760.17 / $1,063.31	Facility		$390.75	$760.17	$1,063.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $300.88 / $300.88	Professional		$257.89	$300.88	$300.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.90 / $468.90 / $468.90	Facility		$468.90	$468.90	$468.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $709.59 / $886.99	Professional		$448.93	$709.59	$886.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $332.14 / $507.98 / $683.81	Professional		$332.14	$507.98	$683.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $507.98 / $1,526.38	Facility		$390.75	$507.98	$1,526.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $234.45 / $1,008.35	Professional		$234.45	$234.45	$1,008.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $469.28 / $683.81 / $1,074.74	Facility		$469.28	$683.81	$1,074.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $468.90 / $683.81 / $1,008.35	Professional		$468.90	$683.81	$1,008.35
United Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $234.45 / $800.06	Professional		$234.45	$234.45	$800.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $308.69 / $390.75 / $390.75	Professional		$308.69	$390.75	$390.75