Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $977.24 / $1,412.54	Facility		$389.05	$977.24	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $489.78	Professional		$338.84	$398.11	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,230.27	Professional		$724.44	$977.24	$1,230.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $630.96 / $912.01	Professional		$151.36	$630.96	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $616.60 / $1,348.96	Facility		$512.86	$616.60	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,174.90	Professional		$309.03	$309.03	$1,174.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,122.02	Facility		$512.86	$512.86	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,122.02	Professional		$309.03	$309.03	$1,122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $512.86	Professional		$398.11	$512.86	$512.86