Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $616.60 / $891.25	Facility		$245.47	$616.60	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $323.59	Professional		$223.87	$257.04	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $776.25	Professional		$616.60	$616.60	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $416.87 / $588.84	Professional		$151.36	$416.87	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $831.76	Facility		$323.59	$389.05	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $1,445.44	Professional		$194.98	$354.81	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $741.31	Facility		$323.59	$323.59	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $812.83	Professional		$194.98	$199.53	$812.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59