Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.89 / $243.89 / $293.82	Facility		$243.89	$243.89	$293.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.68 / $224.53 / $336.80	Professional		$159.68	$224.53	$336.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $507.38	Facility		$243.42	$243.42	$507.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.42 / $431.25 / $550.78	Professional		$243.42	$431.25	$550.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $36.99 / $38.28	Professional		$35.14	$36.99	$38.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $594.58 / $1,745.64	Facility		$100.00	$594.58	$1,745.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.68 / $225.41 / $551.77	Professional		$182.68	$225.41	$551.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.73 / $50.73 / $119.91	Facility		$50.73	$50.73	$119.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $60.66 / $119.91	Professional		$50.38	$60.66	$119.91
United Facility/Professional Professional Modifier Low / Median / High Price $187.36 / $208.19 / $551.77	Professional		$187.36	$208.19	$551.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $327.95 / $415.13 / $415.13	Professional		$327.95	$415.13	$415.13