Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.12 / $342.12 / $366.07	Facility		$342.12	$342.12	$366.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.31 / $321.36 / $490.17	Professional		$181.31	$321.36	$490.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $651.12	Facility		$292.50	$292.50	$651.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $651.12 / $826.88	Professional		$292.50	$651.12	$826.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $60.56 / $60.56	Professional		$57.53	$60.56	$60.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $681.68 / $2,606.76	Facility		$100.00	$681.68	$2,606.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.74 / $295.31 / $808.77	Professional		$212.74	$295.31	$808.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $66.62 / $157.46	Facility		$66.62	$66.62	$157.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $79.84 / $157.46	Professional		$66.41	$79.84	$157.46
United Facility/Professional Professional Modifier Low / Median / High Price $245.77 / $295.31 / $808.77	Professional		$245.77	$295.31	$808.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $420.86 / $532.74 / $532.74	Professional		$420.86	$532.74	$532.74