Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.60 / $327.60 / $327.60	Facility		$327.60	$327.60	$327.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.16 / $251.16 / $2,105.89	Professional		$251.16	$251.16	$2,105.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,173.42 / $1,208.61 / $1,243.83	Facility		$1,173.42	$1,208.61	$1,243.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.90 / $663.22 / $829.03	Professional		$599.90	$663.22	$829.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $243.21 / $379.13 / $910.49	Professional		$243.21	$379.13	$910.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $424.46 / $725.40 / $3,352.67	Facility		$424.46	$725.40	$3,352.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.67 / $400.67 / $954.38	Professional		$290.67	$400.67	$954.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $532.41 / $1,069.05 / $1,563.84	Facility		$532.41	$1,069.05	$1,563.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $400.67 / $599.90 / $741.21	Professional		$400.67	$599.90	$741.21
United Facility/Professional Professional Modifier Low / Median / High Price $290.67 / $334.27 / $585.51	Professional		$290.67	$334.27	$585.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $380.23 / $481.30 / $566.20	Professional		$380.23	$481.30	$566.20