Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.96 / $230.96 / $268.27	Facility		$230.96	$230.96	$268.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.84 / $232.15 / $326.95	Professional		$153.84	$232.15	$326.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $285.92	Facility		$193.40	$193.40	$285.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.40 / $258.98 / $407.81	Professional		$193.40	$258.98	$407.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $37.58 / $82.06	Professional		$37.58	$37.58	$82.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.73 / $514.54 / $1,288.56	Facility		$57.73	$514.54	$1,288.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $130.13 / $463.13	Professional		$19.59	$130.13	$463.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.73 / $57.73 / $136.44	Facility		$57.73	$57.73	$136.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $69.08 / $136.44	Professional		$57.40	$69.08	$136.44
United Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $130.13 / $365.25	Professional		$19.59	$130.13	$365.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $373.13 / $472.32 / $472.32	Professional		$373.13	$472.32	$472.32