Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.30 / $471.30 / $635.42	Facility		$471.30	$471.30	$635.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $469.10 / $703.83	Professional		$267.50	$469.10	$703.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $719.24	Facility		$232.12	$232.12	$719.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $719.24 / $1,139.06	Professional		$64.81	$719.24	$1,139.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $72.56 / $644.42	Professional		$72.56	$72.56	$644.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.35 / $801.21 / $3,918.77	Facility		$82.35	$801.21	$3,918.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.67 / $367.35 / $912.76	Professional		$265.67	$367.35	$912.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.86 / $96.07 / $198.22	Facility		$83.86	$96.07	$198.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $115.14 / $198.22	Professional		$95.79	$115.14	$198.22
United Facility/Professional Professional Modifier Low / Median / High Price $293.88 / $367.35 / $912.76	Professional		$293.88	$367.35	$912.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $542.07 / $686.16 / $686.16	Professional		$542.07	$686.16	$686.16