Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $741.31 / $1,071.52	Facility		$302.00	$741.31	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $467.74	Professional		$257.04	$309.03	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $933.25	Professional		$562.34	$741.31	$933.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $489.78 / $707.95	Professional		$151.36	$489.78	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $467.74 / $1,000.00	Facility		$389.05	$467.74	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $851.14	Professional		$234.42	$234.42	$851.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $501.19	Professional		$467.74	$467.74	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $870.96	Facility		$389.05	$389.05	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $851.14	Professional		$234.42	$234.42	$851.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $389.05	Professional		$309.03	$389.05	$389.05