Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.44 / $268.44 / $325.76	Facility		$268.44	$268.44	$325.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.06 / $243.04 / $356.53	Professional		$137.06	$243.04	$356.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $368.71	Facility		$209.52	$209.52	$368.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $517.50 / $780.00	Professional		$209.52	$517.50	$780.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $42.61 / $42.61	Professional		$42.61	$42.61	$42.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.52 / $483.39 / $2,008.95	Facility		$57.52	$483.39	$2,008.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.81 / $223.38 / $611.76	Professional		$160.81	$223.38	$611.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $49.25 / $116.40	Facility		$47.37	$49.25	$116.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $57.52 / $116.40	Professional		$47.22	$57.52	$116.40
United Facility/Professional Professional Modifier Low / Median / High Price $189.90 / $223.38 / $611.76	Professional		$189.90	$223.38	$611.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $318.31 / $402.93 / $402.93	Professional		$318.31	$402.93	$402.93