Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $763.45 / $1,372.35	Facility		$348.15	$763.45	$1,372.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.15 / $248.68 / $872.87	Professional		$213.15	$248.68	$872.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.87 / $586.21 / $732.77	Professional		$370.87	$586.21	$732.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $274.52 / $484.44 / $863.92	Professional		$274.52	$484.44	$863.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $433.21 / $1,534.06	Facility		$322.95	$433.21	$1,534.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $322.95 / $883.51	Professional		$193.78	$322.95	$883.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $395.54 / $657.99 / $924.89	Facility		$395.54	$657.99	$924.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $387.86 / $657.99 / $905.72	Professional		$387.86	$657.99	$905.72
United Facility/Professional Professional Modifier Low / Median / High Price $193.78 / $266.36 / $816.77	Professional		$193.78	$266.36	$816.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $255.14 / $322.95 / $322.95	Professional		$255.14	$322.95	$322.95