Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.42 / $467.42 / $552.96	Facility		$467.42	$467.42	$552.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.56 / $436.07 / $634.29	Professional		$289.56	$436.07	$634.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $647.96 / $647.96 / $980.87	Facility		$647.96	$647.96	$980.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.17 / $739.26 / $1,111.88	Professional		$605.17	$739.26	$1,111.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $76.72 / $78.59	Professional		$62.87	$76.72	$78.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $942.76 / $3,751.53	Facility		$100.00	$942.76	$3,751.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.63 / $435.19 / $1,085.71	Professional		$301.63	$435.19	$1,085.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.32 / $98.09 / $231.84	Facility		$86.32	$98.09	$231.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $107.87 / $231.84	Professional		$86.07	$107.87	$231.84
United Facility/Professional Professional Modifier Low / Median / High Price $379.17 / $409.65 / $1,085.71	Professional		$379.17	$409.65	$1,085.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $634.00 / $802.53 / $802.53	Professional		$634.00	$802.53	$802.53