Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.61 / $367.61 / $442.58	Facility		$367.61	$367.61	$442.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.99 / $337.24 / $507.65	Professional		$196.99	$337.24	$507.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $611.38	Facility		$283.73	$283.73	$611.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $705.00 / $901.13	Professional		$283.73	$705.00	$901.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $58.35 / $58.35	Professional		$58.35	$58.35	$58.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $740.65 / $3,331.13	Facility		$100.00	$740.65	$3,331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $344.16 / $831.13	Professional		$268.16	$344.16	$831.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.87 / $68.87 / $162.79	Facility		$68.87	$68.87	$162.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $82.30 / $162.79	Professional		$68.34	$82.30	$162.79
United Facility/Professional Professional Modifier Low / Median / High Price $303.48 / $313.60 / $831.13	Professional		$303.48	$313.60	$831.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $445.16 / $563.49 / $563.49	Professional		$445.16	$563.49	$563.49