Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.99 / $864.99 / $1,234.71	Facility		$864.99	$864.99	$1,234.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.84 / $864.99 / $1,282.21	Professional		$519.84	$864.99	$1,282.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.44 / $1,042.44 / $1,397.53	Facility		$1,042.44	$1,042.44	$1,397.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.44 / $1,672.50 / $2,090.63	Professional		$1,042.44	$1,672.50	$2,090.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $161.53 / $1,252.67	Professional		$161.53	$161.53	$1,252.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.83 / $1,689.29 / $7,614.56	Facility		$169.83	$1,689.29	$7,614.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.38 / $714.02 / $1,854.24	Professional		$516.38	$714.02	$1,854.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $170.32 / $186.68 / $441.25	Facility		$170.32	$186.68	$441.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $212.82 / $441.25	Professional		$169.83	$212.82	$441.25
United Facility/Professional Professional Modifier Low / Median / High Price $582.33 / $690.57 / $1,773.90	Professional		$582.33	$690.57	$1,773.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,206.64 / $1,527.39 / $1,527.39	Professional		$1,206.64	$1,527.39	$1,527.39