Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.08 / $274.08 / $274.08	Facility		$274.08	$274.08	$274.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.70 / $270.70 / $2,332.17	Professional		$270.70	$270.70	$2,332.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,033.36 / $1,064.36 / $1,095.36	Facility		$1,033.36	$1,064.36	$1,095.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.73 / $714.42 / $893.02	Professional		$644.73	$714.42	$893.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $206.75 / $392.68 / $960.72	Professional		$206.75	$392.68	$960.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $339.00 / $738.93 / $1,382.36	Facility		$339.00	$738.93	$1,382.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $406.15 / $905.25	Professional		$256.20	$406.15	$905.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $437.27 / $644.73 / $1,064.36	Facility		$437.27	$644.73	$1,064.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $661.02 / $798.81	Professional		$310.00	$661.02	$798.81
United Facility/Professional Professional Modifier Low / Median / High Price $258.23 / $364.39 / $665.25	Professional		$258.23	$364.39	$665.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $408.67 / $517.29 / $608.60	Professional		$408.67	$517.29	$608.60