Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.26 / $508.67 / $775.61	Facility		$307.26	$508.67	$775.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.12 / $219.47 / $770.34	Professional		$188.12	$219.47	$770.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.51 / $517.66 / $647.09	Professional		$327.51	$517.66	$647.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $245.26 / $356.29 / $498.80	Professional		$245.26	$356.29	$498.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.46 / $342.04 / $629.91	Facility		$139.46	$342.04	$629.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $185.31 / $587.16	Professional		$84.78	$185.31	$587.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.00 / $367.81 / $624.66	Facility		$121.00	$367.81	$624.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $361.03 / $624.66	Professional		$156.91	$361.03	$624.66
United Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $171.02 / $455.99	Professional		$84.78	$171.02	$455.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $225.17 / $285.02 / $285.02	Professional		$225.17	$285.02	$285.02