Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.47 / $468.47 / $581.61	Facility		$468.47	$468.47	$581.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.98 / $425.57 / $656.76	Professional		$309.98	$425.57	$656.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $474.94	Facility		$370.80	$370.80	$474.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $862.50 / $1,078.13	Professional		$296.64	$862.50	$1,078.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $150.00 / $866.72	Professional		$76.64	$150.00	$866.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $796.40 / $2,587.75	Facility		$99.68	$796.40	$2,587.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.88 / $342.96 / $786.37	Professional		$283.88	$342.96	$786.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.04 / $99.68 / $235.61	Facility		$97.04	$99.68	$235.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $119.78 / $235.61	Professional		$96.33	$119.78	$235.61
United Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $296.70 / $786.37	Professional		$287.14	$296.70	$786.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $815.58 / $815.58 / $815.58	Facility		$815.58	$815.58	$815.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $644.30 / $815.58 / $815.58	Professional		$644.30	$815.58	$815.58