Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.10 / $773.10 / $966.37	Facility		$773.10	$773.10	$966.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.60 / $273.45 / $664.80	Professional		$237.60	$273.45	$664.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.14 / $405.96 / $417.79	Facility		$394.14	$405.96	$417.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.80 / $237.80 / $270.23	Professional		$237.80	$237.80	$270.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $737.36 / $778.03	Professional		$150.00	$737.36	$778.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.74 / $310.60 / $462.13	Facility		$217.74	$310.60	$462.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.19 / $230.19 / $270.23	Professional		$230.19	$230.19	$270.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $270.23 / $405.96 / $417.79	Facility		$270.23	$405.96	$417.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $230.19 / $270.23 / $270.23	Professional		$230.19	$270.23	$270.23
United Facility/Professional Facility Modifier Low / Median / High Price $283.41 / $283.41 / $283.41	Facility		$283.41	$283.41	$283.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $135.37 / $171.36 / $171.36	Professional		$135.37	$171.36	$171.36