Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.23 / $300.23 / $364.28	Facility		$300.23	$300.23	$364.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.37 / $276.20 / $414.61	Professional		$153.37	$276.20	$414.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $307.55 / $307.55 / $550.75	Facility		$307.55	$307.55	$550.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.87 / $580.50 / $725.63	Professional		$353.87	$580.50	$725.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $50.09 / $50.09	Professional		$47.59	$50.09	$50.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $581.86 / $2,352.03	Facility		$100.00	$581.86	$2,352.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.95 / $249.79 / $684.10	Professional		$179.95	$249.79	$684.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $55.10 / $130.22	Facility		$55.10	$55.10	$130.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $66.04 / $130.22	Professional		$54.94	$66.04	$130.22
United Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $249.79 / $684.10	Professional		$207.90	$249.79	$684.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.98 / $450.61 / $450.61	Professional		$355.98	$450.61	$450.61