Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.24 / $305.24 / $367.68	Facility		$305.24	$305.24	$367.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $283.37 / $421.52	Professional		$190.55	$283.37	$421.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $406.67	Facility		$327.62	$327.62	$406.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.62 / $551.25 / $689.06	Professional		$327.62	$551.25	$689.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $795.72	Professional		$48.45	$48.45	$795.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.87 / $674.09 / $1,856.74	Facility		$73.87	$674.09	$1,856.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $205.73 / $299.68 / $606.87	Professional		$205.73	$299.68	$606.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $63.53 / $150.15	Facility		$63.53	$63.53	$150.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.05 / $75.92 / $150.15	Professional		$63.05	$75.92	$150.15
United Facility/Professional Professional Modifier Low / Median / High Price $206.02 / $265.01 / $564.23	Professional		$206.02	$265.01	$564.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $410.60 / $519.75 / $519.75	Professional		$410.60	$519.75	$519.75