Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.74 / $323.74 / $389.96	Facility		$323.74	$323.74	$389.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $299.61 / $447.07	Professional		$205.02	$299.61	$447.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $668.86	Facility		$333.25	$333.25	$668.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $581.63 / $742.38	Professional		$333.25	$581.63	$742.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $51.22 / $51.38	Professional		$47.65	$51.22	$51.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $770.71 / $2,391.90	Facility		$100.00	$770.71	$2,391.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $297.02 / $732.32	Professional		$240.56	$297.02	$732.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.88 / $66.88 / $158.08	Facility		$66.88	$66.88	$158.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $79.95 / $158.08	Professional		$66.39	$79.95	$158.08
United Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $278.95 / $732.32	Professional		$253.54	$278.95	$732.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $432.33 / $547.25 / $547.25	Professional		$432.33	$547.25	$547.25