Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.97 / $363.97 / $438.38	Facility		$363.97	$363.97	$438.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.49 / $327.02 / $502.63	Professional		$224.49	$327.02	$502.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $376.09 / $743.60	Facility		$376.09	$376.09	$743.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.09 / $661.50 / $826.88	Professional		$376.09	$661.50	$826.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $57.77 / $58.82	Professional		$54.20	$57.77	$58.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $918.58 / $2,699.33	Facility		$100.00	$918.58	$2,699.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $286.08 / $353.05 / $823.26	Professional		$286.08	$353.05	$823.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $74.36 / $175.76	Facility		$74.36	$74.36	$175.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $88.88 / $175.76	Professional		$73.81	$88.88	$175.76
United Facility/Professional Professional Modifier Low / Median / High Price $300.61 / $340.65 / $862.73	Professional		$300.61	$340.65	$862.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $480.64 / $608.40 / $608.40	Professional		$480.64	$608.40	$608.40