Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $489.78 / $707.95	Facility		$194.98	$489.78	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $323.59	Professional		$177.83	$213.80	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $616.60	Professional		$331.13	$489.78	$616.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $457.09	Professional		$218.78	$426.58	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $588.84	Facility		$257.04	$309.03	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $309.03 / $1,000.00	Professional		$109.65	$309.03	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $331.13	Professional		$309.03	$309.03	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $588.84	Facility		$257.04	$257.04	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $562.34	Professional		$107.15	$151.36	$562.34
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04