Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $407.38	Facility		$338.84	$338.84	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $467.74	Professional		$218.78	$302.00	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $724.44	Facility		$354.81	$354.81	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $776.25	Professional		$354.81	$616.60	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $54.95	Professional		$44.67	$53.70	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $870.96 / $2,570.40	Facility		$81.28	$870.96	$2,570.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $724.44	Professional		$263.03	$331.13	$724.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,659.59	Professional		$707.95	$812.83	$1,659.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $234.42 / $416.87	Facility		$29.51	$234.42	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $776.25	Professional		$281.84	$302.00	$776.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $575.44	Professional		$457.09	$575.44	$575.44