Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $228.43 / $275.01	Facility		$228.43	$228.43	$275.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.10 / $209.58 / $315.44	Professional		$140.10	$209.58	$315.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $427.72	Facility		$263.45	$263.45	$427.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.72 / $448.17 / $560.21	Professional		$427.72	$448.17	$560.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $37.85 / $37.85	Professional		$35.96	$37.85	$37.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $450.60 / $1,779.10	Facility		$49.73	$450.60	$1,779.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.32 / $204.30 / $516.46	Professional		$151.32	$204.30	$516.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $42.78 / $101.11	Facility		$42.78	$42.78	$101.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $52.77 / $337.15	Professional		$42.45	$52.77	$337.15
United Facility/Professional Professional Modifier Low / Median / High Price $188.58 / $204.30 / $516.46	Professional		$188.58	$204.30	$516.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $276.47 / $349.96 / $349.96	Professional		$276.47	$349.96	$349.96