Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.49 / $841.49 / $1,017.63	Facility		$841.49	$841.49	$1,017.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.84 / $774.14 / $1,162.06	Professional		$429.84	$774.14	$1,162.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.51 / $606.51 / $1,359.52	Facility		$606.51	$606.51	$1,359.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.23 / $1,359.52 / $2,034.38	Professional		$122.23	$1,359.52	$2,034.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $133.57 / $1,794.98	Professional		$133.57	$133.57	$1,794.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.32 / $1,630.78 / $7,407.45	Facility		$180.32	$1,630.78	$7,407.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $585.15 / $755.95 / $1,911.04	Professional		$585.15	$755.95	$1,911.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $154.36 / $364.86	Facility		$154.36	$154.36	$364.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $185.00 / $364.86	Professional		$153.91	$185.00	$364.86
United Facility/Professional Professional Modifier Low / Median / High Price $670.86 / $755.95 / $1,911.04	Professional		$670.86	$755.95	$1,911.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $997.75 / $1,262.97 / $1,262.97	Professional		$997.75	$1,262.97	$1,262.97