Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.95 / $496.18 / $694.04	Facility		$274.95	$496.18	$694.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.33 / $221.89 / $247.40	Professional		$168.33	$221.89	$247.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.31 / $462.84 / $578.54	Professional		$306.31	$462.84	$578.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $280.56 / $421.87 / $461.64	Professional		$280.56	$421.87	$461.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.05 / $329.12 / $586.62	Facility		$255.05	$329.12	$586.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $255.05 / $847.36	Professional		$109.94	$255.05	$847.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $306.06 / $467.65 / $558.95	Facility		$306.06	$467.65	$558.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $306.06 / $467.65 / $589.67	Professional		$306.06	$467.65	$589.67
United Facility/Professional Professional Modifier Low / Median / High Price $109.94 / $153.03 / $556.01	Professional		$109.94	$153.03	$556.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $255.05 / $255.05	Professional		$255.05	$255.05	$255.05