Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.12 / $347.12 / $418.02	Facility		$347.12	$347.12	$418.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.85 / $306.01 / $479.36	Professional		$202.85	$306.01	$479.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $353.55 / $685.72	Facility		$353.55	$353.55	$685.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.55 / $594.30 / $806.25	Professional		$353.55	$594.30	$806.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $54.81 / $55.65	Professional		$52.07	$54.81	$55.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $762.58 / $2,537.59	Facility		$100.00	$762.58	$2,537.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $238.01 / $304.35 / $785.02	Professional		$238.01	$304.35	$785.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $68.56 / $162.08	Facility		$68.56	$68.56	$162.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $81.96 / $162.08	Professional		$68.06	$81.96	$162.08
United Facility/Professional Professional Modifier Low / Median / High Price $255.25 / $302.10 / $785.02	Professional		$255.25	$302.10	$785.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $443.22 / $561.04 / $561.04	Professional		$443.22	$561.04	$561.04