Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $912.01	Facility		$588.84	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $870.96	Professional		$398.11	$549.54	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $741.31	Facility		$575.44	$575.44	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,148.15	Professional		$575.44	$870.96	$1,148.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $218.78 / $245.47	Professional		$93.33	$218.78	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,412.54 / $3,715.35	Facility		$138.04	$1,412.54	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $120.23 / $1,230.27	Professional		$48.98	$120.23	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $851.14	Facility		$51.29	$91.20	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $204.17 / $1,000.00	Professional		$48.98	$204.17	$1,000.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,122.02	Professional		$891.25	$1,122.02	$1,122.02