Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.72 / $249.72 / $300.77	Facility		$249.72	$249.72	$300.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.90 / $230.12 / $344.85	Professional		$154.90	$230.12	$344.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $265.97 / $519.61	Facility		$265.97	$265.97	$519.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.91 / $457.15 / $565.78	Professional		$315.91	$457.15	$565.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $40.43 / $42.56	Professional		$37.10	$40.43	$42.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $633.84 / $1,908.97	Facility		$100.00	$633.84	$1,908.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $201.72 / $243.61 / $564.85	Professional		$201.72	$243.61	$564.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.96 / $51.96 / $122.82	Facility		$51.96	$51.96	$122.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $62.11 / $122.82	Professional		$51.58	$62.11	$122.82
United Facility/Professional Professional Modifier Low / Median / High Price $201.72 / $241.76 / $564.85	Professional		$201.72	$241.76	$564.85
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $335.85 / $425.13 / $425.13	Professional		$335.85	$425.13	$425.13