Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.54 / $600.54 / $728.64	Facility		$600.54	$600.54	$728.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.76 / $552.48 / $829.32	Professional		$306.76	$552.48	$829.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.17 / $615.17 / $1,101.64	Facility		$615.17	$615.17	$1,101.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.17 / $1,161.00 / $1,451.25	Professional		$615.17	$1,161.00	$1,451.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $100.14 / $100.14	Professional		$95.13	$100.14	$100.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $1,163.83 / $4,704.66	Facility		$128.66	$1,163.83	$4,704.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.93 / $499.64 / $1,368.34	Professional		$359.93	$499.64	$1,368.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $260.36	Facility		$110.15	$110.15	$260.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $132.02 / $260.36	Professional		$109.83	$132.02	$260.36
United Facility/Professional Professional Modifier Low / Median / High Price $392.65 / $499.64 / $1,368.34	Professional		$392.65	$499.64	$1,368.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $712.06 / $901.34 / $901.34	Professional		$712.06	$901.34	$901.34