Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.45 / $845.23 / $1,519.43	Facility		$385.45	$845.23	$1,519.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.99 / $275.32 / $966.37	Professional		$235.99	$275.32	$966.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $649.54 / $811.92	Professional		$410.94	$649.54	$811.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $303.93 / $536.34 / $944.76	Professional		$303.93	$536.34	$944.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.56 / $479.69 / $1,698.41	Facility		$357.56	$479.69	$1,698.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.54 / $357.56 / $978.19	Professional		$214.54	$357.56	$978.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $437.93 / $728.47 / $1,023.93	Facility		$437.93	$728.47	$1,023.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $429.42 / $728.47 / $1,002.73	Professional		$429.42	$728.47	$1,002.73
United Facility/Professional Professional Modifier Low / Median / High Price $214.54 / $214.54 / $822.39	Professional		$214.54	$214.54	$822.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $282.47 / $357.56 / $357.56	Professional		$282.47	$357.56	$357.56