Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.74 / $266.74 / $323.66	Facility		$266.74	$266.74	$323.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $245.39 / $368.36	Professional		$136.32	$245.39	$368.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $219.78 / $431.08	Facility		$38.92	$219.78	$431.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.08 / $543.00 / $678.75	Professional		$431.08	$543.00	$678.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $569.24	Professional		$42.34	$42.34	$569.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $516.94 / $2,348.81	Facility		$57.16	$516.94	$2,348.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $238.16 / $546.48	Professional		$151.83	$238.16	$546.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $48.94 / $115.67	Facility		$48.94	$48.94	$115.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $58.64 / $115.67	Professional		$48.78	$58.64	$115.67
United Facility/Professional Professional Modifier Low / Median / High Price $188.47 / $206.19 / $546.48	Professional		$188.47	$206.19	$546.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $316.32 / $400.41 / $400.41	Professional		$316.32	$400.41	$400.41