Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.76 / $291.76 / $351.25	Facility		$291.76	$291.76	$351.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $248.06 / $402.91	Professional		$154.59	$248.06	$402.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $547.50	Facility		$229.50	$229.50	$547.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $547.50 / $703.13	Professional		$229.50	$547.50	$703.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $45.70 / $48.52	Professional		$43.42	$45.70	$48.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $674.21 / $2,149.42	Facility		$100.00	$674.21	$2,149.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.44 / $248.89 / $659.63	Professional		$210.44	$248.89	$659.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.75 / $54.75 / $129.40	Facility		$54.75	$54.75	$129.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $65.43 / $129.40	Professional		$54.34	$65.43	$129.40
United Facility/Professional Professional Modifier Low / Median / High Price $223.10 / $260.29 / $659.63	Professional		$223.10	$260.29	$659.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $353.89 / $447.96 / $447.96	Professional		$353.89	$447.96	$447.96