Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.23 / $714.23 / $859.95	Facility		$714.23	$714.23	$859.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.69 / $628.00 / $986.32	Professional		$400.69	$628.00	$986.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.69 / $251.69 / $809.37	Facility		$251.69	$251.69	$809.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $1,350.00 / $1,687.50	Professional		$251.69	$1,350.00	$1,687.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $113.37 / $113.37	Professional		$113.37	$113.37	$113.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $1,413.16 / $3,177.13	Facility		$139.94	$1,413.16	$3,177.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $352.54 / $512.89 / $965.48	Professional		$352.54	$512.89	$965.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $139.94 / $330.80	Facility		$139.94	$139.94	$330.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $167.25 / $330.80	Professional		$138.41	$167.25	$330.80
United Facility/Professional Professional Modifier Low / Median / High Price $352.54 / $470.05 / $965.48	Professional		$352.54	$470.05	$965.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $904.61 / $1,145.07 / $1,145.07	Professional		$904.61	$1,145.07	$1,145.07