Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.05 / $306.05 / $371.35	Facility		$306.05	$306.05	$371.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.27 / $281.55 / $422.65	Professional		$156.27	$281.55	$422.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $420.37	Facility		$172.77	$172.77	$420.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.77 / $592.50 / $740.63	Professional		$172.77	$592.50	$740.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $48.58 / $562.46	Professional		$48.58	$48.58	$562.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.58 / $587.66 / $2,290.40	Facility		$65.58	$587.66	$2,290.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.36 / $235.33 / $557.74	Professional		$183.36	$235.33	$557.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $56.14 / $132.69	Facility		$56.14	$56.14	$132.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $67.28 / $132.69	Professional		$55.99	$67.28	$132.69
United Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $232.71 / $533.55	Professional		$194.56	$232.71	$533.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $362.89 / $459.36 / $459.36	Professional		$362.89	$459.36	$459.36