Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.18 / $323.18 / $368.66	Facility		$323.18	$323.18	$368.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.75 / $296.73 / $446.29	Professional		$223.75	$296.73	$446.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $692.19	Facility		$310.87	$310.87	$692.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.87 / $500.89 / $679.69	Professional		$310.87	$500.89	$679.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $44.96 / $48.10	Professional		$42.71	$44.96	$48.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.97 / $840.93 / $2,228.01	Facility		$81.97	$840.93	$2,228.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.56 / $316.54 / $731.39	Professional		$230.56	$316.54	$731.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.20 / $70.44 / $166.50	Facility		$69.20	$70.44	$166.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $82.76 / $166.50	Professional		$68.75	$82.76	$166.50
United Facility/Professional Professional Modifier Low / Median / High Price $245.62 / $307.85 / $731.39	Professional		$245.62	$307.85	$731.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $447.40 / $566.33 / $566.33	Professional		$447.40	$566.33	$566.33