Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $436.52 / $1,949.84	Facility		$389.05	$436.52	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $575.44	Professional		$398.11	$524.81	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $275.42	Facility		$257.04	$263.03	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $229.09	Professional		$181.97	$181.97	$229.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,071.52 / $1,288.25	Professional		$151.36	$1,071.52	$1,288.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,698.24 / $2,511.89	Facility		$190.55	$1,698.24	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $181.97	Professional		$151.36	$151.36	$181.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,862.09 / $2,511.89	Facility		$977.24	$1,862.09	$2,511.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $151.36	Professional		$117.49	$151.36	$151.36