Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.82 / $376.85 / $527.13	Facility		$208.82	$376.85	$527.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.09 / $182.09 / $523.54	Professional		$182.09	$182.09	$523.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.65 / $448.47 / $560.59	Professional		$232.65	$448.47	$560.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.88 / $321.00 / $446.93	Professional		$209.88	$321.00	$446.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.65 / $296.30 / $808.96	Facility		$232.65	$296.30	$808.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $123.38 / $505.58	Professional		$116.23	$123.38	$505.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.97 / $391.46 / $580.42	Facility		$249.97	$391.46	$580.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $249.97 / $399.13 / $505.58	Professional		$249.97	$399.13	$505.58
United Facility/Professional Professional Modifier Low / Median / High Price $116.23 / $123.38 / $448.27	Professional		$116.23	$123.38	$448.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.07 / $246.92 / $246.92	Professional		$195.07	$246.92	$246.92