Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.62 / $270.62 / $325.94	Facility		$270.62	$270.62	$325.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $243.26 / $373.71	Professional		$166.85	$243.26	$373.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $277.51 / $552.40	Facility		$277.51	$277.51	$552.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $492.00 / $627.91	Professional		$277.51	$492.00	$627.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $42.26 / $42.43	Professional		$40.15	$42.26	$42.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $682.73 / $1,990.31	Facility		$100.00	$682.73	$1,990.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.97 / $262.41 / $612.09	Professional		$215.97	$262.41	$612.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $55.24 / $130.57	Facility		$55.24	$55.24	$130.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $66.04 / $130.57	Professional		$54.84	$66.04	$130.57
United Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $251.97 / $612.09	Professional		$223.50	$251.97	$612.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $357.05 / $451.96 / $451.96	Professional		$357.05	$451.96	$451.96