Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $2,818.38	Professional		$275.42	$380.19	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $2,818.38	Facility		$44.67	$89.13	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $2,818.38	Professional		$2,344.23	$2,754.23	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,344.23	Professional		$1,819.70	$2,344.23	$2,344.23