Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.88 / $622.88 / $726.51	Facility		$622.88	$622.88	$726.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.76 / $563.95 / $826.94	Professional		$449.76	$563.95	$826.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.35 / $2,355.54 / $2,355.54	Facility		$855.35	$2,355.54	$2,355.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $1,504.69 / $2,355.54	Professional		$77.09	$1,504.69	$2,355.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $98.87 / $98.87	Professional		$98.87	$98.87	$98.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $1,207.14 / $4,660.41	Facility		$64.67	$1,207.14	$4,660.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.72 / $473.62 / $1,085.96	Professional		$332.72	$473.62	$1,085.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $109.85 / $114.26 / $270.06	Facility		$109.85	$114.26	$270.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $133.47 / $270.06	Professional		$109.53	$133.47	$270.06
United Facility/Professional Professional Modifier Low / Median / High Price $380.89 / $473.62 / $1,085.96	Professional		$380.89	$473.62	$1,085.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $738.52 / $934.83 / $934.83	Professional		$738.52	$934.83	$934.83