Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.60 / $389.08 / $544.24	Facility		$215.60	$389.08	$544.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $154.00 / $194.00	Professional		$132.00	$154.00	$194.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $362.96 / $453.70	Professional		$240.00	$362.96	$453.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $270.00 / $1,022.23	Professional		$170.00	$270.00	$1,022.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $258.08 / $512.00	Facility		$200.00	$258.08	$512.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $134.19 / $751.46	Professional		$120.00	$134.19	$751.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $303.68 / $438.32	Facility		$240.00	$303.68	$438.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $365.75 / $522.00	Professional		$240.00	$365.75	$522.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $370.00	Professional		$120.00	$120.00	$370.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00