Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.39 / $325.39 / $408.80	Facility		$325.39	$325.39	$408.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.19 / $299.88 / $471.19	Professional		$216.19	$299.88	$471.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $382.81 / $382.81	Facility		$264.39	$382.81	$382.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.85 / $465.37 / $764.06	Professional		$324.85	$465.37	$764.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $54.16 / $521.05	Professional		$54.16	$54.16	$521.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $642.60 / $1,770.01	Facility		$69.65	$642.60	$1,770.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.12 / $257.31 / $601.98	Professional		$196.12	$257.31	$601.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $69.65 / $164.63	Facility		$69.65	$69.65	$164.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $83.27 / $164.63	Professional		$69.15	$83.27	$164.63
United Facility/Professional Professional Modifier Low / Median / High Price $196.40 / $225.89 / $537.87	Professional		$196.40	$225.89	$537.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $450.21 / $569.88 / $569.88	Professional		$450.21	$569.88	$569.88