Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $628.29 / $878.84	Facility		$322.95	$628.29	$878.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.15 / $248.68 / $313.27	Professional		$213.15	$248.68	$313.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $586.21 / $732.77	Professional		$387.55	$586.21	$732.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $436.00 / $1,650.68	Professional		$274.52	$436.00	$1,650.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $416.75 / $826.78	Facility		$322.95	$416.75	$826.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $322.95 / $1,411.73	Professional		$193.78	$322.95	$1,411.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $387.55 / $665.30 / $1,012.93	Facility		$387.55	$665.30	$1,012.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $683.16 / $823.55	Professional		$387.55	$683.16	$823.55
United Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $193.78 / $663.87	Professional		$193.78	$193.78	$663.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $322.95 / $322.95	Professional		$322.95	$322.95	$322.95