Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.79 / $551.79 / $689.77	Facility		$551.79	$551.79	$689.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.69 / $195.18 / $618.40	Professional		$82.69	$195.18	$618.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.83 / $400.49 / $412.16	Facility		$388.83	$400.49	$412.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.01 / $235.01 / $237.80	Professional		$188.01	$235.01	$237.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $687.09 / $835.50	Professional		$150.00	$687.09	$835.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.01 / $310.60 / $457.39	Facility		$213.01	$310.60	$457.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.09 / $227.09 / $270.23	Professional		$227.09	$227.09	$270.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $270.23 / $400.49 / $412.16	Facility		$270.23	$400.49	$412.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $227.09 / $270.23 / $270.23	Professional		$227.09	$270.23	$270.23
United Facility/Professional Professional Modifier Low / Median / High Price $549.02 / $549.02 / $549.02	Professional		$549.02	$549.02	$549.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $225.00 / $225.00	Professional		$177.75	$225.00	$225.00