Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $760.17 / $1,063.31	Facility		$390.75	$760.17	$1,063.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $300.88 / $300.88	Professional		$257.89	$300.88	$300.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $709.59 / $886.99	Professional		$448.93	$709.59	$886.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $332.14 / $507.98 / $707.26	Professional		$332.14	$507.98	$707.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $504.24 / $1,043.30	Facility		$390.75	$504.24	$1,043.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $234.45 / $898.73	Professional		$234.45	$234.45	$898.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $468.90 / $683.81 / $856.35	Facility		$468.90	$683.81	$856.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $468.90 / $683.81 / $856.35	Professional		$468.90	$683.81	$856.35
United Facility/Professional Professional Modifier Low / Median / High Price $234.45 / $234.45 / $800.06	Professional		$234.45	$234.45	$800.06
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $308.69 / $390.75 / $390.75	Professional		$308.69	$390.75	$390.75