Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $478.63 / $724.44	Facility		$194.98	$478.63	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $380.19	Professional		$165.96	$218.78	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $602.56	Professional		$302.00	$478.63	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $724.44	Professional		$213.80	$416.87	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $323.59 / $676.08	Facility		$251.19	$323.59	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $251.19 / $660.69	Professional		$128.82	$251.19	$660.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $323.59	Professional		$302.00	$302.00	$323.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $549.54	Facility		$251.19	$251.19	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $588.84	Professional		$128.82	$151.36	$588.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $251.19	Professional		$199.53	$251.19	$251.19