Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.58 / $513.58 / $618.54	Facility		$513.58	$513.58	$618.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.95 / $468.78 / $709.22	Professional		$315.95	$468.78	$709.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.96 / $407.96 / $590.76	Facility		$407.96	$407.96	$590.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.96 / $590.76 / $1,167.19	Professional		$407.96	$590.76	$1,167.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $81.52 / $81.52	Professional		$81.52	$81.52	$81.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $1,107.77 / $2,957.66	Facility		$105.14	$1,107.77	$2,957.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.18 / $481.77 / $910.21	Professional		$328.18	$481.77	$910.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.14 / $105.14 / $248.51	Facility		$105.14	$105.14	$248.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $125.67 / $248.51	Professional		$104.37	$125.67	$248.51
United Facility/Professional Professional Modifier Low / Median / High Price $328.18 / $437.58 / $898.78	Professional		$328.18	$437.58	$898.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $679.57 / $860.22 / $860.22	Professional		$679.57	$860.22	$860.22