Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.25 / $638.25 / $802.46	Facility		$638.25	$638.25	$802.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.87 / $592.41 / $913.33	Professional		$337.87	$592.41	$913.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $908.29 / $908.29 / $908.29	Facility		$908.29	$908.29	$908.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $1,233.75 / $1,542.19	Professional		$75.70	$1,233.75	$1,542.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $104.98 / $814.21	Professional		$104.98	$104.98	$814.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.19 / $1,097.88 / $4,948.92	Facility		$113.19	$1,097.88	$4,948.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $335.64 / $464.10 / $1,212.50	Professional		$335.64	$464.10	$1,212.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.33 / $121.33 / $286.77	Facility		$121.33	$121.33	$286.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $145.41 / $286.77	Professional		$120.97	$145.41	$286.77
United Facility/Professional Professional Modifier Low / Median / High Price $378.37 / $453.42 / $1,153.20	Professional		$378.37	$453.42	$1,153.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $784.23 / $992.70 / $992.70	Professional		$784.23	$992.70	$992.70