Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.34 / $468.34 / $616.26	Facility		$468.34	$468.34	$616.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.54 / $511.16 / $704.79	Professional		$271.54	$511.16	$704.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.44 / $654.75 / $766.38	Facility		$455.44	$654.75	$766.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.44 / $654.75 / $822.00	Professional		$455.44	$654.75	$822.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $81.01 / $1,129.28	Professional		$81.01	$81.01	$1,129.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $1,168.83 / $2,522.61	Facility		$133.72	$1,168.83	$2,522.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.79 / $485.63 / $1,062.74	Professional		$360.79	$485.63	$1,062.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $316.08	Facility		$133.72	$133.72	$316.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $160.06 / $316.08	Professional		$133.03	$160.06	$316.08
United Facility/Professional Professional Modifier Low / Median / High Price $360.79 / $464.08 / $988.07	Professional		$360.79	$464.08	$988.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $864.36 / $1,094.13 / $1,094.13	Professional		$864.36	$1,094.13	$1,094.13