Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.54 / $315.54 / $315.54	Facility		$315.54	$315.54	$315.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.80 / $217.80 / $1,900.17	Professional		$217.80	$217.80	$1,900.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.31 / $1,062.25 / $1,093.19	Facility		$1,031.31	$1,062.25	$1,093.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.35 / $573.24 / $716.55	Professional		$517.35	$573.24	$716.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.73 / $330.77 / $953.19	Professional		$208.73	$330.77	$953.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.08 / $715.32 / $3,352.67	Facility		$368.08	$715.32	$3,352.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $377.00 / $823.06	Professional		$259.27	$377.00	$823.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $517.35 / $1,062.25 / $1,546.82	Facility		$517.35	$1,062.25	$1,546.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $581.03 / $813.63	Professional		$377.00	$581.03	$813.63
United Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $298.16 / $524.25	Professional		$259.27	$298.16	$524.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $327.93 / $415.10 / $488.30	Professional		$327.93	$415.10	$488.30