Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.49 / $557.49 / $644.04	Facility		$557.49	$557.49	$644.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $517.05 / $734.28	Professional		$327.20	$517.05	$734.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $1,127.95	Facility		$369.39	$369.39	$1,127.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.39 / $913.63 / $1,308.28	Professional		$369.39	$913.63	$1,308.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $88.67 / $90.28	Professional		$72.22	$88.67	$90.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.79 / $1,065.75 / $4,343.22	Facility		$112.79	$1,065.75	$4,343.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.85 / $498.73 / $1,262.95	Professional		$340.85	$498.73	$1,262.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.54 / $112.79 / $266.60	Facility		$97.54	$112.79	$266.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $121.89 / $266.60	Professional		$97.25	$121.89	$266.60
United Facility/Professional Professional Modifier Low / Median / High Price $435.42 / $491.13 / $1,262.95	Professional		$435.42	$491.13	$1,262.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $729.07 / $922.87 / $922.87	Professional		$729.07	$922.87	$922.87