Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.67 / $504.67 / $612.33	Facility		$504.67	$504.67	$612.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.70 / $464.28 / $696.93	Professional		$257.70	$464.28	$696.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $516.79 / $925.78	Facility		$516.79	$516.79	$925.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.79 / $925.78 / $1,219.69	Professional		$516.79	$925.78	$1,219.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $84.16 / $84.16	Professional		$79.95	$84.16	$84.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.15 / $1,054.49 / $3,947.25	Facility		$108.15	$1,054.49	$3,947.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.82 / $454.87 / $1,149.91	Professional		$350.82	$454.87	$1,149.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.58 / $92.58 / $218.82	Facility		$92.58	$92.58	$218.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $92.31 / $110.96 / $218.82	Professional		$92.31	$110.96	$218.82
United Facility/Professional Professional Modifier Low / Median / High Price $382.72 / $454.87 / $1,149.91	Professional		$382.72	$454.87	$1,149.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $598.39 / $757.46 / $757.46	Professional		$598.39	$757.46	$757.46