Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.88 / $378.88 / $442.84	Facility		$378.88	$378.88	$442.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $358.26 / $528.00	Professional		$226.00	$358.26	$528.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $330.77 / $468.96	Facility		$330.77	$330.77	$468.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.77 / $396.27 / $632.80	Professional		$330.77	$396.27	$632.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $60.69 / $757.11	Professional		$60.69	$60.69	$757.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.04 / $783.39 / $2,028.80	Facility		$94.04	$783.39	$2,028.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.64 / $311.92 / $667.61	Professional		$226.64	$311.92	$667.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.04 / $94.04 / $222.27	Facility		$94.04	$94.04	$222.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.52 / $112.54 / $222.27	Professional		$93.52	$112.54	$222.27
United Facility/Professional Professional Modifier Low / Median / High Price $226.64 / $234.20 / $620.70	Professional		$226.64	$234.20	$620.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $607.83 / $769.41 / $769.41	Professional		$607.83	$769.41	$769.41