Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.09 / $421.09 / $507.41	Facility		$421.09	$421.09	$507.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.14 / $390.54 / $581.51	Professional		$296.14	$390.54	$581.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $459.79 / $604.09	Facility		$459.79	$459.79	$604.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.79 / $720.00 / $917.69	Professional		$459.79	$720.00	$917.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $66.84 / $1,236.69	Professional		$66.84	$66.84	$1,236.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,095.71 / $3,203.72	Facility		$100.00	$1,095.71	$3,203.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $403.15 / $820.40	Professional		$266.70	$403.15	$820.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.19 / $91.19 / $215.54	Facility		$91.19	$91.19	$215.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $109.03 / $215.54	Professional		$90.55	$109.03	$215.54
United Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $391.53 / $820.40	Professional		$266.70	$391.53	$820.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $589.41 / $746.10 / $746.10	Professional		$589.41	$746.10	$746.10