Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.65 / $822.65 / $890.23	Facility		$822.65	$822.65	$890.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.88 / $764.55 / $1,192.07	Professional		$440.88	$764.55	$1,192.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $1,185.40	Facility		$200.00	$200.00	$1,185.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $1,185.40 / $1,987.50	Professional		$106.83	$1,185.40	$1,987.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.02 / $137.02 / $1,062.49	Professional		$137.02	$137.02	$1,062.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.34 / $1,432.81 / $6,458.74	Facility		$147.34	$1,432.81	$6,458.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $437.92 / $605.53 / $1,572.78	Professional		$437.92	$605.53	$1,572.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $158.35 / $158.35 / $374.27	Facility		$158.35	$158.35	$374.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.88 / $189.78 / $374.27	Professional		$157.88	$189.78	$374.27
United Facility/Professional Professional Modifier Low / Median / High Price $484.42 / $605.53 / $1,504.97	Professional		$484.42	$605.53	$1,504.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,023.48 / $1,295.55 / $1,295.55	Professional		$1,023.48	$1,295.55	$1,295.55