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 / $248.68	Professional		$213.15	$248.68	$248.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.87 / $586.21 / $732.77	Professional		$370.87	$586.21	$732.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $419.85 / $584.55	Professional		$274.52	$419.85	$584.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $419.85 / $1,411.73	Facility		$322.95	$419.85	$1,411.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $215.31 / $816.77	Professional		$193.78	$215.31	$816.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $387.86 / $683.16 / $1,012.93	Facility		$387.86	$683.16	$1,012.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $387.55 / $696.53 / $842.93	Professional		$387.55	$696.53	$842.93
United Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $215.31 / $742.81	Professional		$193.78	$215.31	$742.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $255.14 / $322.95 / $322.95	Professional		$255.14	$322.95	$322.95