Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.68 / $399.68 / $499.77	Facility		$399.68	$399.68	$499.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.42 / $333.46 / $568.83	Professional		$210.42	$333.46	$568.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $755.62	Facility		$234.00	$234.00	$755.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.07 / $772.88 / $966.09	Professional		$489.07	$772.88	$966.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $66.64 / $69.81	Professional		$59.34	$66.64	$69.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $798.29 / $3,019.16	Facility		$100.00	$798.29	$3,019.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.89 / $342.70 / $866.49	Professional		$246.89	$342.70	$866.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.79 / $76.79 / $181.51	Facility		$76.79	$76.79	$181.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.56 / $92.03 / $181.51	Professional		$76.56	$92.03	$181.51
United Facility/Professional Professional Modifier Low / Median / High Price $285.23 / $342.70 / $866.49	Professional		$285.23	$342.70	$866.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $488.41 / $618.24 / $618.24	Professional		$488.41	$618.24	$618.24