Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.74 / $282.74 / $340.46	Facility		$282.74	$282.74	$340.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.97 / $261.86 / $390.46	Professional		$165.97	$261.86	$390.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $357.22	Facility		$332.93	$332.93	$357.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $357.22 / $656.25	Professional		$39.86	$357.22	$656.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $693.09	Professional		$44.88	$44.88	$693.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.93 / $677.29 / $1,865.59	Facility		$66.93	$677.29	$1,865.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.86 / $276.01 / $566.91	Professional		$184.86	$276.01	$566.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $57.56 / $136.06	Facility		$57.56	$57.56	$136.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $68.80 / $136.06	Professional		$57.13	$68.80	$136.06
United Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $213.91 / $566.91	Professional		$206.72	$213.91	$566.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $372.07 / $470.97 / $470.97	Professional		$372.07	$470.97	$470.97