Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.75 / $241.75 / $291.22	Facility		$241.75	$241.75	$291.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $221.05 / $333.85	Professional		$161.62	$221.05	$333.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $498.87	Facility		$243.78	$243.78	$498.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.78 / $430.88 / $538.59	Professional		$243.78	$430.88	$538.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $36.75 / $37.83	Professional		$34.90	$36.75	$37.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $629.04 / $1,749.66	Facility		$100.00	$629.04	$1,749.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $245.13 / $546.89	Professional		$187.15	$245.13	$546.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.89 / $49.89 / $117.91	Facility		$49.89	$49.89	$117.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $59.64 / $117.91	Professional		$49.53	$59.64	$117.91
United Facility/Professional Professional Modifier Low / Median / High Price $199.69 / $231.47 / $546.89	Professional		$199.69	$231.47	$546.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $322.45 / $408.17 / $408.17	Professional		$322.45	$408.17	$408.17