Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.00 / $341.00 / $410.73	Facility		$341.00	$341.00	$410.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $312.37 / $470.90	Professional		$212.01	$312.37	$470.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.55 / $354.55 / $701.66	Facility		$354.55	$354.55	$701.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.55 / $617.63 / $772.03	Professional		$354.55	$617.63	$772.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $54.13 / $55.46	Professional		$44.37	$54.13	$55.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $867.54 / $2,544.80	Facility		$100.00	$867.54	$2,544.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $272.36 / $333.44 / $771.32	Professional		$272.36	$333.44	$771.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.17 / $70.17 / $165.85	Facility		$70.17	$70.17	$165.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $83.88 / $165.85	Professional		$69.66	$83.88	$165.85
United Facility/Professional Professional Modifier Low / Median / High Price $281.64 / $325.52 / $814.99	Professional		$281.64	$325.52	$814.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $453.52 / $574.08 / $574.08	Professional		$453.52	$574.08	$574.08