Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.22 / $569.22 / $685.58	Facility		$569.22	$569.22	$685.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.12 / $514.66 / $786.06	Professional		$348.12	$514.66	$786.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.42 / $581.42 / $1,151.33	Facility		$581.42	$581.42	$1,151.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.42 / $1,038.38 / $1,297.97	Professional		$581.42	$1,038.38	$1,297.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $90.35 / $91.41	Professional		$85.07	$90.35	$91.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $1,308.66 / $4,173.16	Facility		$133.91	$1,308.66	$4,173.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $408.46 / $511.18 / $1,287.48	Professional		$408.46	$511.18	$1,287.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.14 / $115.14 / $272.14	Facility		$115.14	$115.14	$272.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $137.63 / $272.14	Professional		$114.30	$137.63	$272.14
United Facility/Professional Professional Modifier Low / Median / High Price $436.61 / $483.71 / $1,337.37	Professional		$436.61	$483.71	$1,337.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $744.18 / $942.00 / $942.00	Professional		$744.18	$942.00	$942.00