Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.52 / $686.52 / $826.49	Facility		$686.52	$686.52	$826.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.35 / $647.39 / $948.06	Professional		$434.35	$647.39	$948.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $542.66 / $1,475.08	Facility		$542.66	$542.66	$1,475.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.66 / $1,037.45 / $1,659.84	Professional		$542.66	$1,037.45	$1,659.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $113.01 / $114.53	Professional		$91.62	$113.01	$114.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.53 / $1,414.73 / $5,719.94	Facility		$147.53	$1,414.73	$5,719.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $452.45 / $654.44 / $1,623.05	Professional		$452.45	$654.44	$1,623.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.50 / $147.53 / $348.71	Facility		$129.50	$147.53	$348.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $161.84 / $348.71	Professional		$129.13	$161.84	$348.71
United Facility/Professional Professional Modifier Low / Median / High Price $561.16 / $654.44 / $1,623.05	Professional		$561.16	$654.44	$1,623.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $953.44 / $1,206.88 / $1,206.88	Professional		$953.44	$1,206.88	$1,206.88