Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.22 / $460.22 / $570.05	Facility		$460.22	$460.22	$570.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.44 / $415.36 / $647.63	Professional		$307.44	$415.36	$647.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $471.69	Facility		$255.74	$255.74	$471.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.74 / $840.00 / $1,050.00	Professional		$255.74	$840.00	$1,050.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.12 / $150.00 / $859.59	Professional		$75.12	$150.00	$859.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.71 / $782.37 / $2,570.06	Facility		$98.71	$782.37	$2,570.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.49 / $365.74 / $840.00	Professional		$281.49	$365.74	$840.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.15 / $98.71 / $233.32	Facility		$97.15	$98.71	$233.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $119.93 / $233.32	Professional		$96.45	$119.93	$233.32
United Facility/Professional Professional Modifier Low / Median / High Price $285.17 / $365.94 / $781.00	Professional		$285.17	$365.94	$781.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $807.66 / $807.66 / $807.66	Facility		$807.66	$807.66	$807.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $807.66 / $807.66	Professional		$638.04	$807.66	$807.66