Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $831.76	Facility		$645.65	$645.65	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $616.60 / $933.25	Professional		$346.74	$616.60	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $977.24	Facility		$134.90	$134.90	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,230.27 / $1,548.82	Professional		$134.90	$1,230.27	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $831.76	Professional		$102.33	$102.33	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,047.13 / $5,128.61	Facility		$107.15	$1,047.13	$5,128.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,202.26	Professional		$316.23	$446.68	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $933.25 / $2,238.72	Professional		$912.01	$933.25	$2,238.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $295.12 / $645.65	Facility		$41.69	$295.12	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $1,202.26	Professional		$380.19	$467.74	$1,202.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $954.99	Professional		$758.58	$954.99	$954.99