Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.33 / $289.33 / $348.35	Facility		$289.33	$289.33	$348.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.58 / $265.45 / $399.56	Professional		$155.58	$265.45	$399.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $542.63	Facility		$333.25	$333.25	$542.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $555.00 / $693.75	Professional		$333.25	$555.00	$693.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $47.87 / $47.87	Professional		$45.48	$47.87	$47.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $571.64 / $2,250.42	Facility		$63.10	$571.64	$2,250.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $258.77 / $654.16	Professional		$192.55	$258.77	$654.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.27 / $54.27 / $128.28	Facility		$54.27	$54.27	$128.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $66.94 / $428.71	Professional		$53.85	$66.94	$428.71
United Facility/Professional Professional Modifier Low / Median / High Price $231.05 / $250.31 / $654.16	Professional		$231.05	$250.31	$654.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $350.74 / $443.97 / $443.97	Professional		$350.74	$443.97	$443.97