Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.39 / $450.39 / $546.46	Facility		$450.39	$450.39	$546.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.07 / $414.34 / $621.97	Professional		$230.07	$414.34	$621.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.38 / $461.38 / $826.21	Facility		$461.38	$461.38	$826.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.85 / $870.75 / $1,088.44	Professional		$530.85	$870.75	$1,088.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $75.09 / $75.09	Professional		$71.34	$75.09	$75.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $872.87 / $3,528.39	Facility		$100.00	$872.87	$3,528.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.95 / $374.72 / $1,026.23	Professional		$269.95	$374.72	$1,026.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $82.61 / $195.26	Facility		$82.61	$82.61	$195.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $99.01 / $195.26	Professional		$82.37	$99.01	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $374.72 / $1,026.23	Professional		$294.49	$374.72	$1,026.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $534.03 / $675.99 / $675.99	Professional		$534.03	$675.99	$675.99