Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $812.83 / $1,174.90	Facility		$331.13	$812.83	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $416.87	Professional		$302.00	$338.84	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,023.29	Professional		$812.83	$812.83	$1,023.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $549.54 / $776.25	Professional		$151.36	$549.54	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $512.86 / $1,096.48	Facility		$426.58	$512.86	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $1,698.24	Professional		$257.04	$426.58	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $977.24	Facility		$426.58	$426.58	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $1,071.52	Professional		$257.04	$257.04	$1,071.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58