Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.24 / $474.24 / $536.67	Facility		$474.24	$474.24	$536.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $426.96 / $637.88	Professional		$272.20	$426.96	$637.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.13 / $278.13 / $939.87	Facility		$278.13	$278.13	$939.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $764.91 / $1,119.83	Professional		$278.13	$764.91	$1,119.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $75.27 / $77.45	Professional		$70.05	$75.27	$77.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $886.40 / $3,649.09	Facility		$100.00	$886.40	$3,649.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.55 / $414.88 / $1,072.36	Professional		$283.55	$414.88	$1,072.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.41 / $93.97 / $222.12	Facility		$86.41	$93.97	$222.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.15 / $107.97 / $222.12	Professional		$86.15	$107.97	$222.12
United Facility/Professional Professional Modifier Low / Median / High Price $340.25 / $414.88 / $1,072.36	Professional		$340.25	$414.88	$1,072.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $607.50 / $768.99 / $768.99	Professional		$607.50	$768.99	$768.99