Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.34 / $375.34 / $455.39	Facility		$375.34	$375.34	$455.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.72 / $345.30 / $518.32	Professional		$191.72	$345.30	$518.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $688.52	Facility		$353.90	$353.90	$688.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.38 / $725.63 / $907.03	Professional		$442.38	$725.63	$907.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $62.59 / $62.59	Professional		$59.46	$62.59	$62.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $727.40 / $2,940.40	Facility		$100.00	$727.40	$2,940.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $312.27 / $855.20	Professional		$224.96	$312.27	$855.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $68.84 / $162.72	Facility		$68.84	$68.84	$162.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $82.51 / $162.72	Professional		$68.64	$82.51	$162.72
United Facility/Professional Professional Modifier Low / Median / High Price $259.88 / $312.27 / $855.20	Professional		$259.88	$312.27	$855.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $445.04 / $563.34 / $563.34	Professional		$445.04	$563.34	$563.34